Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RI0200X | Infectious Disease | G34045 | CA |
NPI | 1013068931 |
---|---|
Provider Name | Dr. Myron Tzalel Berdischewsky |
First Address | Sherman Oaks, CA 91423-4426 |
Second Address | Studio City, CA 91604-2533 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 16/01/2007 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
A91558 | (02) | CA |
AB7527407 | DEA REGISTRATION (01) | |
G34045 | MEDICAL BOARD OF CA (01) | CA |