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Dr. Emmett A. Berg, D.O.

Family Medicine, Adult Medicine in Van Nuys, CA. Individual provider (NPI-1).

NPI number1942382007
StatusActive
Last updated in NPPESJul 8, 2007

Details

NPI
1942382007
Entity type
Individual (NPI-1)
Name
Dr. Emmett A. Berg
Credential
D.O.
Sex
Male
Sole proprietor
No
Enumeration date
Oct 19, 2006
Last updated
Jul 8, 2007

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207QA0505X Family Medicine, Adult Medicine20a4478CAYes

Practice location

15211 Vanowen St
Suite 105
Van Nuys, CA 91405-3606

Phone 818-997-7711 · Fax 818-997-3744

Mailing address

15211 Vanowen St
Suite 105
Van Nuys, CA 91405-3606

Phone 818-997-7711 · Fax 818-997-3744

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