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1619102191

NPI Code Detail

MEDICARE: YURO J BERKOVIC MD

MEDICARE: YURO J BERKOVIC MD

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
1	207YX0007X	Plastic Surgery within the Head & Neck (Otolaryngology) Physician	A161452	CA
2	390200000X	Student in an Organized Health Care Education/Training Program	GETP.201076	LA
3	207Y00000X	Otolaryngology Physician	27218	OK

General Provider Information

NPI Number	:	1619102191
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	YURO J BERKOVIC MD

Provider Business Mailing Address
First Line	:	3660 ARLINGTON AVE
Second Line	:
City	:	RIVERSIDE
State	:	CA
Zip	:	92506-3987
Country	:	US
Telephone Number	:	951-782-3050
Fax Number	:

Provider Business Practice Location Address
First Line	:	501 S BUENA VISTA ST
Second Line	:
City	:	BURBANK
State	:	CA
Zip	:	91505-4809
Country	:	US
Telephone Number	:	818-847-6049
Fax Number	:	818-847-4842

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/27/2009
Last Update Date	:	09/05/2025

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Directions to “ YURO J BERKOVIC MD” Practice Location

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