Individual provider · Type 1 NPI

Katerina Phoenix Bereford-Wood

Specialist · Riverside, CA

NPI number 1801464656 Active

Practice location

6700 Indiana Ave
Riverside, CA 92506-4290

Fax (760) 818-8025

Other practice locations

  • 340 S Farrell Dr Ste A208, Palm Springs, CA 92262-7931 · (760) 202-4308

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000XNone listed

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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About NPI 1801464656

Katerina Phoenix Bereford-Wood's National Provider Identifier is 1801464656, issued on Jun 16, 2021. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Riverside, CA. The record was last updated on Jun 16, 2021.