Dr. Bertram Henick
Periodontist
26560 Agoura Rd Suite 102
Calabasas
, California 91302-1926
Dr. Bertram Henick
Periodontist
26560 Agoura Rd Suite 102
Calabasas
, California 91302-1926
(818) 865-2079
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About
Features
Specialties
- Periodontist
Languages spoken
- English
Location
First Address
- Dr. Bertram Henick
- 26560 Agoura Rd Suite 102
- Calabasas, CA
- Zip : 91302-1926
- Fax : (818) 865-2079
- Phone : (818) 871-9416
Second Address
- Dr. Bertram Henick
- 26560 Agoura Rd Suite 102
- Calabasas, CA
- Zip : 91302-1926
- Fax : (818) 865-2079
- Phone : (818) 871-9416
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Is Dr. Bertram Henick a sole practitioner?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 1223P0300X | Periodontist | 16175 | CA |
National Provider Identifier
| NPI | 1073605911 |
|---|---|
| Provider Name | Dr. Bertram Henick |
| First Address | Calabasas, CA 91302-1926 |
| Second Address | Calabasas, CA 91302-1926 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 28/09/2006 |
| Last Update Date | 27/04/2010 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.