Individual provider · Type 1 NPI

Katherine Jane Berman, PA-C

Medical Physician Assistant · San Luis Obispo, CA

NPI number 1508064593 Active

Practice location

283 Madonna Rd
San Luis Obispo, CA 93405-5432

Mailing address

166 Loma Bonita Dr
San Luis Obispo, CA 93401-6629

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant 363AM0700XPA00443 (RI)
Medical Physician Assistant 363AM0700XMA053051 (PA)
Medical Physician Assistant Primary 363AM0700XPA22010 (CA)

Medical Physician Assistant: Definition to come...

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About NPI 1508064593

Katherine Jane Berman, PA-C's National Provider Identifier is 1508064593, issued on Jul 11, 2007. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in San Luis Obispo, CA. The record was last updated on Jan 3, 2022.