Provider Demographics
NPI:1528048584
Name:BERLIN, MICHAEL S (MD)
Entity type:Individual
Prefix:DR
First Name:MICHAEL
Middle Name:S
Last Name:BERLIN
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Gender:M
Credentials:MD
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Mailing Address - Street 1:8733 BEVERLY BLVD
Mailing Address - Street 2:SUITE 301
Mailing Address - City:WEST HOLLYWOOD
Mailing Address - State:CA
Mailing Address - Zip Code:90048-1800
Mailing Address - Country:US
Mailing Address - Phone:310-855-1112
Mailing Address - Fax:310-855-1211
Practice Address - Street 1:8733 BEVERLY BLVD
Practice Address - Street 2:SUITE 301
Practice Address - City:WEST HOLLYWOOD
Practice Address - State:CA
Practice Address - Zip Code:90048-1800
Practice Address - Country:US
Practice Address - Phone:310-855-1112
Practice Address - Fax:310-855-1211
Is Sole Proprietor?:No
Enumeration Date:2006-01-18
Last Update Date:2008-06-13
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Provider Licenses
StateLicense IDTaxonomies
CAG31961A207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAA04071Medicare UPIN
CAG31961AMedicare PIN