BORIS BERZON MD INC (NPI# 1063695302) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063695302 |
| Entity Type | Organization |
| Organization Name | BORIS BERZON MD INC |
| Practice Address |
3631 Crenshaw Blvd Ste 102 103 Los Angeles CA 90016-4869 |
| Practice Telephone | 3237305600 |
| Enumeration Date | 2007-12-10 |
| Last Update Date | 2008-04-20 |
| Authorized Official Name | BORIS BERZON (PRESIDENT) |
| Authorized Official Telephone | 3237305600 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR0200X |
Clinic/Center Specialization: Radiology |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | LICENSE | A70349 | 01 |
| Street Address |
3631 CRENSHAW BLVD STE 102 103 |
| City | LOS ANGELES |
| State | CA |
| Zip Code | 90016-4869 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477554616 | Kevin A Brown | Family Medicine | 3631 Crenshaw Blvd, #110, Los Angeles, CA 90016-4869 | 2005-08-10 |
| 1437703014 | Arys Dembekjian | Dentist | 3631 Crenshaw Blvd, Los Angeles, CA 90016-4869 | 2019-07-31 |
| 1932568284 | Sabrina Moiseyev | Nurse Practitioner | 3631 Crenshaw Blvd, #109, Los Angeles, CA 90016-4869 | 2016-02-15 |
| 1417346305 | Crenshaw Pharmacy Inc | Pharmacy | 3631 Crenshaw Blvd, Ste 111, Los Angeles, CA 90016-4869 | 2015-01-14 |
| 1063836120 | Shary Joseph | Nurse Practitioner | 3631 Crenshaw Blvd, Los Angeles, CA 90016-4869 | 2014-02-10 |
| 1811339799 | Cynthia Lynn Courtney | Nurse Practitioner | 3631 Crenshaw Blvd, 109, Los Angeles, CA 90016-4869 | 2013-07-22 |
| 1578763207 | Benevolence Industries Incorporated | Clinic/Center | 3631 Crenshaw Blvd, 109, Los Angeles, CA 90016-4869 | 2007-07-20 |
| 1982616793 | Milo M Webber M D, Inc | Specialist | 3631 Crenshaw Blvd, Suite 103, Los Angeles, CA 90016-4869 | 2006-08-12 |
| 1912935842 | Evangeline Gutierrez Bautista | Family Medicine | 3631 Crenshaw Blvd, Suite 109, Los Angeles, CA 90016-4869 | 2006-06-29 |
| 1891730883 | Milo Melvin Webber | Specialist | 3631 Crenshaw Blvd, Suite # 103, Los Angeles, CA 90016-4869 | 2006-06-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790334134 | Rodef & Yousefi Dental Corporation | Dentist | 3736 Crenshaw Blvd, Los Angeles, CA 90016 | 2019-09-09 |
| 1891278016 | Harold Ringgold Jr. | Counselor | 5220 Washington Ste 101 &104, Los Angeles, CA 90016 | 2018-09-13 |
| 1477085330 | Nyul Aegd | Student in an Organized Health Care Education/Training Program | 3743 S Labrea Avenue, Los Angeles, CA 90016 | 2017-03-30 |
| 1770978876 | Alexander Delacruz Jr. | Nutritionist | 2336 Crenshaw Blvd, Suite 101, Los Angeles, CA 90016 | 2015-04-06 |
| 1518358670 | Henry Bratton | Counselor | 2017 Westview Street, Los Angeles, CA 90016 | 2015-02-11 |
| 1063819084 | Karina Ann Chandler-ziegler | Counselor | 5220 Washington Street, Ste. 101, Los Angeles, CA 90016 | 2014-11-20 |
| 1801299136 | Smith Medical Management | Clinical Medical Laboratory | 2953 Palm Grove Ave, Los Angeles, CA 90016 | 2014-10-01 |
| 1366844144 | No Dorm Inc. | Assisted Living Facility | 5222 Washington Blvd., Los Angeles, CA 90016 | 2014-09-23 |
| 1891120853 | Margaret Yarbrough | General Practice | 3717 S. Labrea, #341, Los Angeles, CA 90016 | 2013-09-10 |
| 1821422346 | Circle of Help Foundation | Community/Behavioral Health | 4701 Rodeo Rd., Room #2, #3, Los Angeles, CA 90016 | 2013-09-03 |
| Find all providers in zip 90016 | ||||
| Taxonomy Code | 261QR0200X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Radiology |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164049508 | Ohni Imaging Inc | Clinic/Center | 8631 W 3rd St # 945e, Los Angeles, CA 90048-5901 | 2020-07-01 |
| 1861920761 | United Medical Imaging Healthcare, Inc. | Clinic/Center | 6310 San Vicente Blvd Ste 102, Los Angeles, CA 90048-5426 | 2017-05-23 |
| 1477816700 | George C Lee Jr. | Clinic/Center | 1200 North State, Ct-2b 300 Lac-usc, Los Angeles, CA 90033-9985 | 2012-06-21 |
| 1851682595 | Broadway Radiology, Inc. | Clinic/Center | 231 W Vernon Ave Ste 111, Los Angeles, CA 90037-2778 | 2011-04-28 |
| 1225238769 | Ez Diagnosis Center LLC | Clinic/Center | 520 S Virgil Ave Ste 104, Los Angeles, CA 90020-1417 | 2007-07-23 |
| 1184750630 | Ardmore Imaging Inc | Clinic/Center | 3663 W 6th St Ste 105, Los Angeles, CA 90020-3047 | 2007-02-26 |
| 1205927399 | Functional Restoration Medical Center, Inc | Clinic/Center | 3513 Whittier Blvd, Los Angeles, CA 90023-1709 | 2006-09-27 |
| 1295841377 | Shin Mri LLC | Clinic/Center | 266 S Harvard Blvd Ste 220, Los Angeles, CA 90004-4339 | 2006-08-22 |
| 1578590584 | East Sunset Imaging Inc | Clinic/Center | 4327 W Sunset Blvd, Los Angeles, CA 90029-2111 | 2006-06-26 |
| 1700486081 | Pacific Mri A Nursing Corporation | Clinic/Center | 3760 Santa Rosalia Dr, Los Angeles, CA 90008-3611 | 2020-10-27 |
| Find all providers in LOS ANGELES | ||||
| City | LOS ANGELES |
| Zip Code | 90016 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.