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NPI Code Detail

MEDICARE: DR. LARRY MICHAEL BERKOWITZ M.D., M.B.A.

MEDICARE:  DR. LARRY MICHAEL BERKOWITZ  M.D., M.B.A.
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
1207V00000XObstetrics & Gynecology PhysicianG44090CA

General Provider Information

NPI Number : 1780772350
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. LARRY MICHAEL BERKOWITZ M.D., M.B.A.
Provider Business Mailing Address
First Line : 580 W STEVENS RD
Second Line :
City : PALM SPRINGS
State : CA
Zip : 92262-4226
Country : US
Telephone Number : 760-322-0776
Fax Number :
Provider Business Practice Location Address
First Line : 580 W STEVENS RD
Second Line :
City : PALM SPRINGS
State : CA
Zip : 92262-4226
Country : US
Telephone Number : 760-322-0776
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/10/2006
Last Update Date : 07/08/2007

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Directions to “ DR. LARRY MICHAEL BERKOWITZ M.D., M.B.A.” Practice Location

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