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NPI Code Detail

MEDICARE: THE BERKELEY CLINIC, INC

MEDICARE: THE BERKELEY CLINIC, INC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1261QU0200XUrgent Care Clinic/Center39290CA

General Provider Information

NPI Number : 1326344938
Entity Type Code : Organization
Provider Name (Legal Business Name) : THE BERKELEY CLINIC, INC
Provider Business Mailing Address
First Line : 8939 S SEPULVEDA BLVD
Second Line :
City : LOS ANGELES
State : CA
Zip : 90045-3631
Country : US
Telephone Number : 323-848-4522
Fax Number :
Provider Business Practice Location Address
First Line : 6430 SELMA AVE
Second Line :
City : LOS ANGELES
State : CA
Zip : 90028-7311
Country : US
Telephone Number : 323-848-4522
Fax Number :
Authorized Official
Title or Position : PRESIDENT
Name : DR. RITO HILL
Credential : M.D.
Telephone Number : 323-848-4522
Provider Enumeration Date : 01/28/2011
Last Update Date : 01/28/2011

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Directions to “THE BERKELEY CLINIC, INC ” Practice Location

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