MEDICARE: DR. JACQUELINE KIRSTIE BERRY 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	207Q00000X	Family Medicine Physician	A060134	CA

General Provider Information

NPI Number	:	1891991014
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JACQUELINE KIRSTIE BERRY MD

Provider Business Mailing Address
First Line	:	PO BOX 19067
Second Line	:
City	:	LONG BEACH
State	:	CA
Zip	:	90807-9067
Country	:	US
Telephone Number	:	562-981-0425
Fax Number	:

Provider Business Practice Location Address
First Line	:	621 N SAN VICENTE BLVD
Second Line	:
City	:	WEST HOLLYWOOD
State	:	CA
Zip	:	90069-5018
Country	:	US
Telephone Number	:	323-358-2423
Fax Number	:

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

Provider Enumeration Date	:	06/25/2007
Last Update Date	:	07/08/2007

Similar Medicare Providers

1497832083 — DR. LYSA CHARLES MD
Practice Location Address:

2101 E JEFFERSON ST PPQA MEDICARE COMPLIANCE UNT 6 WEST , KAISER PERMANENTE MID ATLANTIC PERMANENTE MEDICAL GROUP
ROCKVILLE, MD
20852-4908

Practice Phone: 301-816-6660
Practice Fax: 301-816-6308

1275461535 — TAMECCA NEELY
Practice Location Address:

1801 POLK ST UNIT 220342
HOLLYWOOD, FL
33022-5018

Practice Phone: 954-228-0794
Practice Fax:

1063340321 — TEMPLE MENTAL HEALTH LLC
Practice Location Address:

1801 POLK ST UNIT 220342
HOLLYWOOD, FL
33022-5018

Practice Phone: 954-228-0794
Practice Fax:

1174930556 — MEDICFP, LLC
Practice Location Address:

1942 HARRISON ST
HOLLYWOOD, FL
33020-5018

Practice Phone: 954-356-2690
Practice Fax:

1538824388 — MR. PRIYANTHA RANASINGHE I
Practice Location Address:

10717 OXNARD ST
NORTH HOLLYWOOD, CA
91606-5018

Practice Phone: 818-200-3934
Practice Fax:

1124891965 — MRS. SHANNON M MCCARTHY RD
Practice Location Address:

5018 N HOLLYWOOD AVE
WHITEFISH BAY, WI
53217-5601

Practice Phone: 414-699-3085
Practice Fax:

Directions to “ DR. JACQUELINE KIRSTIE BERRY MD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.