Provider Demographics
NPI:1295588499
Name:BERRIS, JOSHUA HARRISON
Entity type:Individual
Prefix:
First Name:JOSHUA
Middle Name:HARRISON
Last Name:BERRIS
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1801 FAIRBURN AVE
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90025-4903
Mailing Address - Country:US
Mailing Address - Phone:310-595-5787
Mailing Address - Fax:
Practice Address - Street 1:1775 SUMMITRIDGE DR
Practice Address - Street 2:
Practice Address - City:BEVERLY HILLS
Practice Address - State:CA
Practice Address - Zip Code:90210-1607
Practice Address - Country:US
Practice Address - Phone:818-912-8450
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-04-08
Last Update Date:2024-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)