Boris Berzon MD Inc

Primary specialty

Radiology Clinic/CenterTaxonomy code 261QR0200X

Legal business name

BORIS BERZON MD INC

Practice address

3631 Crenshaw Blvd
Ste 102 103
Los Angeles, CA 90016-4869

Phone

(323) 730-5600

NPI assigned

Dec 10, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Boris Berzon

Title

President

Phone

(323) 730-5600

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1197244800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208649600000",
    "number": "1063695302",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3631 CRENSHAW BLVD",
            "address_2": "STE 102 103",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900164869"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3631 CRENSHAW BLVD",
            "address_2": "STE 102 103",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900164869",
            "telephone_number": "323-730-5600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BORIS BERZON MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-10",
        "last_updated": "2008-04-20",
        "status": "A",
        "authorized_official_last_name": "BERZON",
        "authorized_official_first_name": "BORIS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "323-730-5600"
    },
    "taxonomies": [
        {
            "code": "261QR0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "A70349",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Zachary Borer, LMFT
• Michael Allan Boretz
• Alicia Borges
• Saman Borghei, M.D.
• Darius Borhan
• Boris Management Corp
• Boris Management Corp
• Boris Mayzels Chiropractic Corporation
• Austin James Borja, MD
• Luis Javier Borjas

• Radiology Clinic/Center in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Radiology Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.