Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207Y00000X | Otolaryngologist (ENT Doctor) | A41015 | CA |
N | 207YS0123X | Facial Plastic Surgeon | A41015 | CA |
Y | 207YX0007X | Plastic Surgeon (Head & Neck) | A41015 | CA |
NPI | 1427172709 |
---|---|
Provider Name | Andrew Berman |
First Address | Beverly Hills, CA 90211-1838 |
Second Address | Beverly Hills, CA 90211-1838 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 19/03/2007 |
Last Update Date | 10/03/2014 |