Mary A Mioux Berry
Physical Medicine & Rehabilitation Doctor
630 S Raymond Ave Suite #120
Pasadena
, California 91105-3278
Mary A Mioux Berry
Physical Medicine & Rehabilitation Doctor
630 S Raymond Ave Suite #120
Pasadena
, California 91105-3278
(626) 403-1448
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About
Features
Specialties
- Physical Medicine & Rehabilitation Doctor
Languages spoken
- English
Location
First Address
- Mary A Mioux Berry
- 630 S Raymond Ave Suite #120
- Pasadena, CA
- Zip : 91105-3278
- Fax : (626) 403-1448
- Phone : (626) 403-1444
Second Address
- Mary A Mioux Berry
- 630 S Raymond Ave Suite #120
- Pasadena, CA
- Zip : 91105-3278
- Fax : (626) 403-1448
- Phone : (626) 403-1444
Reviews
FAQs
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What type of doctor is Mary A Mioux Berry
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Is Mary A Mioux Berry a sole practitioner?
Is Mary A Mioux Berry accepting new patients?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 208100000X | Physical Medicine & Rehabilitation Doctor | 036084547 | IL |
| Y | 208100000X | Physical Medicine & Rehabilitation Doctor | 20A8359 | CA |
National Provider Identifier
| NPI | 1023014750 |
|---|---|
| Provider Name | Mary A Mioux Berry |
| First Address | Pasadena, CA 91105-3278 |
| Second Address | Pasadena, CA 91105-3278 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 27/06/2005 |
| Last Update Date | 08/10/2009 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 0006005217 | BLUE CROSS BLUE SHIELD (01) | IL |
| 250004104 | RAILROAD MEDICAID (01) | IL |
| F33188 | (02) |
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.