Healthcare Provider Details

I. General information

NPI: 1255538054
Provider Name (Legal Business Name): JOSHUA DAVID BERKA NMD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/27/2007
Last Update Date: 07/05/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

27520 HAWTHORNE BLVD SUITE 174
ROLLING HILLS ESTATES CA
90274-3576
US

IV. Provider business mailing address

27520 HAWTHORNE BLVD SUITE 174
ROLLING HILLS ESTATES CA
90274-3576
US

V. Phone/Fax

Practice location:
  • Phone: 310-750-6800
  • Fax:
Mailing address:
  • Phone: 310-750-6800
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code171100000X
TaxonomyAcupuncturist
License Number1361
License Number StateMN
# 2
Primary TaxonomyY
Taxonomy Code175F00000X
TaxonomyNaturopath
License NumberND-287
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: