Individual
CARLA BERDEJO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2219 E 1ST ST, LOS ANGELES, CA 90033-3901
(323) 269-9432
Mailing address
2219 E 1ST ST, LOS ANGELES, CA 90033-3901
(323) 269-9432
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
A123078
CA
Other
Enumeration date
07/19/2011
Last updated
09/07/2014
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