Tanya Berry, R1516360723 is a
Rehabilitation Practitioner based in Los Angeles, California. Tanya Berry is licensed to practice in California (license number 1516360723) and her current practice location is
1224 Vine St, Los Angeles, California. She can be reached at her office (for appointments etc.) via phone at
(323) 769-6100.
NPI number for Tanya Berry is 1508642315 and her current mailing address is 1224 Vine St, Los Angeles, California. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1508642315.
Healthcare Provider's Profile
Full Name | Tanya Berry |
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Gender | Female |
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Speciality | Rehabilitation Practitioner |
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Location | 1224 Vine St, Los Angeles, California |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1508642315
- Provider Enumeration Date: 09/06/2023
- Last Update Date: 06/13/2025
Medical Identifiers
Medical identifiers for Tanya Berry such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1508642315 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Secondary |
225400000X | Rehabilitation Practitioner | 1516360723 (California) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Tanya Berry is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Tanya Berry, R1516360723 1224 Vine St, Los Angeles, CA 90038-1612 Ph: (323) 769-6100 | Tanya Berry, R1516360723 1224 Vine St, Los Angeles, CA 90038-1612 Ph: (323) 769-6100 |
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