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NPI Code Detail

MEDICARE: STEVEN H. BERLIN MD

MEDICARE: STEVEN H. BERLIN 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
1207L00000XAnesthesiology PhysicianG48861CA

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1P00907018OTHERCARAILROAD MEDICARE

General Provider Information

NPI Number : 1790773398
Entity Type Code : Individual
Provider Name (Legal Business Name) : STEVEN H. BERLIN MD
Provider Business Mailing Address
First Line : PO BOX 60790
Second Line :
City : PASADENA
State : CA
Zip : 91116-6790
Country : US
Telephone Number : 626-795-6596
Fax Number : 626-795-8247
Provider Business Practice Location Address
First Line : 2070 CENTURY PARK E
Second Line :
City : LOS ANGELES
State : CA
Zip : 90067-1907
Country : US
Telephone Number : 310-772-4000
Fax Number : 310-557-7758
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/10/2005
Last Update Date : 05/05/2011

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