Doctor Name: | DR. STEVEN BERKOV |
NPI Number: | 1114196284 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MD, PHD |
License Number: | G33248 |
Business Practice Address: | 1872 Indian Valley Rd Novato, CA - 949474225 |
Business Phone Number: | 4158939575 |
Business Fax Number: | |
Mailing Address: | 1872 Indian Valley Rd, NOVATO |
State: | CA |
Postal Code: | 949474225 |
Phone Number: | 4158939575 |
Fax Number: | |
NPI Enumeration Date: | 02/22/2008 |
NPI Last Update Date: | 02/22/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QU0200X |
License Number: | G33248 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Urgent Care |
Taxonomy Definition: |