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EJ BERMAN AND TC DOERNER MD PROF INC NPI 1720281512


NPI Information

NPI: 1720281512
Provider Name: EJ BERMAN AND TC DOERNER MD PROF INC

Doing Business As: EDWARD J BERMAN MD

Classification: Internal Medicine - 207RC0000X
Entity Type: Organization

Specialization: Cardiovascular Disease

Address:
1141 W REDONDO BEACH BLVD
SUITE 206
GARDENA, CA
ZIP 90247
Phone: (310) 329-4183
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EJ BERMAN AND TC DOERNER MD PROF INC is a cardiovascular disease internal medicine in Gardena, CA. The provider is an internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. EJ BERMAN AND TC DOERNER MD PROF INC NPI is 1720281512. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Edward J Berman Md.

The provider's business location address is:

1141 W REDONDO BEACH BLVD
SUITE 206
GARDENA, CA
ZIP 90247-586
Phone: (310) 329-4183
Fax: (310) 329-2352

The provider's authorized official is Edward J Berman .
The authorized official title is Owner and has the following contact phone number (310) 329-4183.

The enumeration date for this NPI number is 6/8/2007 and was last updated on 8/22/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207RC0000XInternal MedicineCardiovascular DiseaseG5759CALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1GR0047310MEDICAIDCALIFORNIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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