Healthcare Provider Details

I. General information

NPI: 1306766431
Provider Name (Legal Business Name): MS. ANASTASIIA BERING
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/18/2026
Last Update Date: 07/18/2026
Certification Date: 07/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

17383 W SUNSET BLVD
PACIFIC PALISADES CA
90272-4181
US

IV. Provider business mailing address

17383 W SUNSET BLVD STE 280B
PACIFIC PALISADES CA
90272-4190
US

V. Phone/Fax

Practice location:
  • Phone: 310-459-4333
  • Fax:
Mailing address:
  • Phone: 310-459-4333
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number95037587
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: