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Jack Berman, MD
Diagnostic Radiology Physician in Santa Monica, California
NPI 1417977786

Jack Berman is a Diagnostic Radiology Physician based in Los Angeles, CA and is specialized in Diagnostic Radiology. Jack Berman practices in Santa Monica, CA and has the professional credentials of MD. The NPI Number for Jack Berman is 1417977786 and holds a License No. C33328 (California).

The current practice location address for Jack Berman is 2428 Santa Monica Blvd, Santa Monica, CA and can be reached out via phone at 310-315-1000.

Location: 2428 Santa Monica Blvd, Santa Monica, CA, 90025-3303
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1417977786
Provider Name
Jack Berman
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
2428 Santa Monica Blvd, Santa Monica, CA, 90025-3303
Phone Number
310-315-1000
Fax Number
Provider Enumeration Date
07/20/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
00C333280 05 CA
00C333280 01 CA BLUE SHIELD
institution
Provider Business Practice Location Address Details
Address
2428 Santa Monica Blvd
City
Santa Monica
State
California
Zip
90404-2045
Phone Number
310-315-1000
Fax Number
person
Provider Business Mailing Address Details
Address
2428 Santa Monica Blvd
City
Santa Monica
State
California
Zip
90404-2045
Phone Number
310-315-1000
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Diagnostic Radiology
Taxonomy
2085R0202X
License No.
C33328 (California)
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
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