Provider Demographics
NPI:1700087681
Name:BERGER, JOSHUA J (MD,PHD)
Entity Type:Individual
Prefix:
First Name:JOSHUA
Middle Name:J
Last Name:BERGER
Suffix:
Gender:M
Credentials:MD,PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3500 N SEPULVEDA BLVD STE 130
Mailing Address - Street 2:
Mailing Address - City:MANHATTAN BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:90266-3639
Mailing Address - Country:US
Mailing Address - Phone:310-648-2229
Mailing Address - Fax:310-333-0666
Practice Address - Street 1:3500 N SEPULVEDA BLVD STE 130
Practice Address - Street 2:
Practice Address - City:MANHATTAN BEACH
Practice Address - State:CA
Practice Address - Zip Code:90266-3639
Practice Address - Country:US
Practice Address - Phone:310-648-2229
Practice Address - Fax:310-333-0666
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-30
Last Update Date:2021-12-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA78995207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology