Whalio Doctors

NPI 1023014750

Mary a Mioux Berry, DO

Practitioner Physical Medicine & Rehabilitation Physician Pasadena, CA

Practice location

Address
630 S Raymond Ave Suite #120, Pasadena, CA 91105-3278
Phone
(626) 403-1444
Fax
(626) 403-1448

Registered specialties (2)

Physical Medicine & Rehabilitation Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 208100000X Licence 20A8359 (CA)
Physical Medicine & Rehabilitation Physician
Allopathic & Osteopathic Physicians Taxonomy 208100000X Licence 036084547 (IL)

Registry record

NPI
1023014750
Entity type
Individual
Sex (as registered)
Female
NPI issued
27 Jun 2005
Record last updated
8 Oct 2009

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.