Berg, Bethany Larson

Berg, Bethany Larson is an individual health care provider with primary practice located at 655 E Huntington Dr , Monrovia CA 91016-3636. She recently has only one registered license in Other Service Providers / Genetic Counselor, MS, which is considered as her primary health care specialty. Berg, Bethany Larson can be contacted via phone (626) 471-9922.

Contact Information

Primary practice address
655 E Huntington Dr Monrovia CA 91016-3636
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Genetic Counselor, MS 170300000X GC000895 California

Profile Details

NPI number 1013438449
LBN Legal business name Berg, Bethany Larson
Credentials MS, MS
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 6th, 2017
Last updated Jul 6th, 2017 - about 9 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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