Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207Y00000X | Otolaryngologist (ENT Doctor) | 27218 | OK |
Y | 207YX0007X | Plastic Surgeon (Head & Neck) | A161452 | CA |
NPI | 1619102191 |
---|---|
Provider Name | Yuro J Berkovic |
First Address | Panorama City, CA 91402 |
Second Address | Panorama City, CA 91402 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 27/05/2009 |
Last Update Date | 23/12/2021 |