Provider Demographics
NPI:1467552000
Name:BERKOVITZ, ROBERT ANTON (DC)
Entity Type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:ANTON
Last Name:BERKOVITZ
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1118 S SEAWARD AVE
Mailing Address - Street 2:
Mailing Address - City:VENTURA
Mailing Address - State:CA
Mailing Address - Zip Code:93001-3849
Mailing Address - Country:US
Mailing Address - Phone:805-643-8000
Mailing Address - Fax:805-643-6577
Practice Address - Street 1:1118 S SEAWARD AVE
Practice Address - Street 2:
Practice Address - City:VENTURA
Practice Address - State:CA
Practice Address - Zip Code:93001-3849
Practice Address - Country:US
Practice Address - Phone:805-643-8000
Practice Address - Fax:805-643-6577
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-24
Last Update Date:2021-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA21240111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor