Katerina Phoenix Bereford-Wood
Specialist in Riverside, CA. Individual provider (NPI-1).
NPI number1801464656
StatusActive
Last updated in NPPESJun 16, 2021
Details
- NPI
- 1801464656
- Entity type
- Individual (NPI-1)
- Name
- Ms. Katerina Phoenix Bereford-Wood
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jun 16, 2021
- Certification date
- Jun 16, 2021
- Last updated
- Jun 16, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 174400000X | Specialist | – | – | Yes |
Practice location
6700 Indiana AveRiverside, CA 92506-4290
Phone 951-530-8257 · Fax 760-818-8025
Mailing address
6700 Indiana AveRiverside, CA 92506-4290
Phone 951-530-8257 · Fax 760-818-8025
Other practice locations
340 S Farrell Dr Ste A208
Palm Springs, CA 92262-7931
Palm Springs, CA 92262-7931
Phone 760-202-4308
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