Provider Demographics
NPI:1710010228
Name:BERJ T KALAMKARIAN, M.D., INC.
Entity Type:Organization
Organization Name:BERJ T KALAMKARIAN, M.D., INC.
Other - Org Name:SAN JOAQUIN CENTER FOR PAIN MANAGEMENT
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:BERJ
Authorized Official - Middle Name:T
Authorized Official - Last Name:KALAMKARIAN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:559-446-2227
Mailing Address - Street 1:7152 N SHARON AVE
Mailing Address - Street 2:102
Mailing Address - City:FRESNO
Mailing Address - State:CA
Mailing Address - Zip Code:93720-3361
Mailing Address - Country:US
Mailing Address - Phone:559-446-2227
Mailing Address - Fax:559-446-2230
Practice Address - Street 1:7152 N SHARON AVE
Practice Address - Street 2:102
Practice Address - City:FRESNO
Practice Address - State:CA
Practice Address - Zip Code:93720-3361
Practice Address - Country:US
Practice Address - Phone:559-446-2227
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-13
Last Update Date:2009-12-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA40589208VP0014X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208VP0014XAllopathic & Osteopathic PhysiciansPain MedicineInterventional Pain MedicineGroup - Single Specialty