Individual provider · Type 1 NPI

Mark Berry, O.M.D., D.M.Q.

Student in an Organized Health Care Education/Training Program · Canoga Park, CA

NPI number 1689087264 Active

Practice location

21044 Sherman Way Ste 201
Canoga Park, CA 91303-3648

Call (818) 626-2695 Map

Specialties and licenses

TaxonomyCodeLicense
Nutrition Education Nutritionist 133NN1002X133NN1002 (CA)
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1689087264

Mark Berry, O.M.D., D.M.Q.'s National Provider Identifier is 1689087264, issued on Jun 11, 2014. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Canoga Park, CA. The record was last updated on Jun 11, 2014.