IndividualActive
Gholam Berenji, M.D.
NPI 1790809317 · Nuclear Medicine Physician · Los Angeles, CA
Provider details
- NPI number
- 1790809317
- Entity type
- Individual
- Primary specialty
- Nuclear Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- Yes
- License
- A96398 (CA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
11301 Wilshire Blvd
Nuclear Medicine (115)
Los Angeles, CA 90073
Phone: (310) 268-3583
Approximate (ZIP-level) locationGet directions
Mailing address
15 Del Carlo
Irvine, CA 92606-8823
Registry dates
- Enumerated
- 2007-03-19
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.