Healthcare Provider Details

I. General information

NPI: 1144653437
Provider Name (Legal Business Name): DAMIAN ESTEBAN BEREZOVSKY M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/09/2013
Last Update Date: 05/12/2026
Certification Date: 05/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

25186 HANCOCK AVE STE 110
MURRIETA CA
92562-5998
US

IV. Provider business mailing address

240 W THOMAS RD # 400
PHOENIX AZ
85013-4407
US

V. Phone/Fax

Practice location:
  • Phone: 951-888-3323
  • Fax: 951-888-3561
Mailing address:
  • Phone: 602-406-6262
  • Fax: 602-406-6261

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084N0400X
TaxonomyNeurology Physician
License NumberC209104
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code2084N0400X
TaxonomyNeurology Physician
License Number75927
License Number StateGA
# 3
Primary TaxonomyN
Taxonomy Code2084N0400X
TaxonomyNeurology Physician
License Number53907
License Number StateAZ
# 4
Primary TaxonomyN
Taxonomy Code207WX0109X
TaxonomyNeuro-ophthalmology Physician
License Number53907
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: