Berris, Eliza
Berris, Eliza is an individual health care provider with primary practice located at 22111 Timberline Way , Lake Forest CA 92630-3431. She recently has only one registered license in Dental Providers / Dentist, which is considered as her primary health care specialty. Berris, Eliza can be contacted via phone (949) 975-9230.Contact Information
Primary practice address
22111 Timberline Way
Lake Forest CA 92630-3431
Phone: (949) 975-9230
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dentist | 122300000X | 101107 | California |
Profile Details
| NPI number | 1639601578 |
|---|---|
| LBN Legal business name | Berris, Eliza |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 30th, 2017 |
| Last updated | Mar 30th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1639601578 | NPPES |
| California | Other | 101107 | DENTAL |
Popular Providers
-
Tong, Brian Ngoc
23361 El Toro Rd Ste 105 , Lake Forest CA 92630-4810 -
Weber, Natalia
23082 Ridge Route Dr Ste A , Lake Forest CA 92630-3691 -
Maasoumi, Kathy
22706 Aspan St Suite 602, Lake Forest CA 92630-1603 -
Haider, Mohammad Shiraz
20672 Lake Forest Dr , Lake Forest CA 92630-7744 -
Soldin-Wasfi, Mariam
24261 Grass St , Lake Forest CA 92630-5243 -
Kim, Elizabeth Ga Yeun
22611 Lake Forest Dr Ste C5 , Lake Forest CA 92630 -
Slade, Michelle Gonzales
22111 Timberline Way , Lake Forest CA 92630-3431 -
Paymozd Yazdi, Parnian
22706 Aspan St , Lake Forest CA 92630-1603