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1326386681
SHIVA BEROUKHIM
LONG BEACH, CA
NPI
1326386681
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: CA 20A12606)
Enumeration Date
2013-01-22
Last Update Date
2015-11-13
Business Address
-- SHIVA BEROUKHIM
2776 PACIFIC AVE
LONG BEACH, CA 90806-2613
Phone number: 562-997-2350
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Mailing Address
-- SHIVA BEROUKHIM
12660 RIVERSIDE DR SUITE 310-320
NORTH HOLLYWOOD, CA 91607-3429
Phone number: 818-755-0391
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