Dr. Blake Wade Berman
Neurosurgeon
16702 Valley View Ave
La Mirada
, California 90638-5824
Dr. Blake Wade Berman
Neurosurgeon
16702 Valley View Ave
La Mirada
, California 90638-5824
(714) 367-1689
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About
Features
Specialties
- Neurosurgeon
Languages spoken
- English
Location
First Address
- Dr. Blake Wade Berman
- 16702 Valley View Ave
- La Mirada, CA
- Zip : 90638-5824
- Fax : (714) 367-1689
- Phone : (714) 367-5390
Second Address
- Dr. Blake Wade Berman
- 16702 Valley View Ave
- La Mirada, CA
- Zip : 90638-5824
- Fax : (714) 367-1683
- Phone : (143) 675-3907
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207T00000X | Neurosurgeon | 20A8839 | CA |
National Provider Identifier
| NPI | 1023164365 |
|---|---|
| Provider Name | Dr. Blake Wade Berman |
| First Address | La Mirada, CA 90638-5824 |
| Second Address | La Mirada, CA 90638-5824 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 27/01/2007 |
| Last Update Date | 18/04/2020 |
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.