Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. BERMAN IVAN ICABALCETA JR.
Active Sole ProprietorMR. BERMAN IVAN ICABALCETA JR. is a Technician, Health Information healthcare provider located in SAN BRUNO, California. NPI 1659763282 is currently active in the NPPES registry. Verify at CMS.
Technician, Health Information · SAN BRUNO, CA
Registration Details
- NPI Number
- 1659763282
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Feb 18, 2015 (11.341078077854 yrs)
- Last Updated
- May 8, 2025
- Sole Proprietor
- Yes
Practice Information
- Address
-
1001 SNEATH LN STE 307SAN BRUNO, CA, 94066Browse CA providers · Browse ZIP 94066
- Phone
- 6502440305
- Fax
- 6502441447
- Primary Specialty
-
Technician, Health Information
247200000X
- Additional Specialty
- Specialist
- Additional Specialty
- Technician, Health Information
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.