Basic Information
| Provider Information | |||||||||
| NPI: | 1043531577 | ||||||||
| EntityType: | 1 | ||||||||
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| LastName: | BERJOHN | ||||||||
| FirstName: | CATHERINE | ||||||||
| MiddleName: | M | ||||||||
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| Credential: | MD, MPH | ||||||||
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| Mailing Information | |||||||||
| Address1: | 34800 BOB WILSON DR | ||||||||
| Address2: | 2W, DIVISION OF INFECTIOUS DISEASES | ||||||||
| City: | SAN DIEGO | ||||||||
| State: | CA | ||||||||
| PostalCode: | 92134 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6195326400 | ||||||||
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| Practice Location | |||||||||
| Address1: | BLDG H, 2005 KNIGHT LN | ||||||||
| Address2: | ATTN: MEDICAL STAFF SERVICES, NAVY MEDICINE SUPPORT COM | ||||||||
| City: | JACKSONVILLE | ||||||||
| State: | FL | ||||||||
| PostalCode: | 322120140 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6195328225 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 06/18/2010 | ||||||||
| LastUpdateDate: | 08/02/2017 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207R00000X | 26351 | NE | N | Allopathic & Osteopathic Physicians | Internal Medicine | 207RI0200X | 26351 | NE | Y | Allopathic & Osteopathic Physicians | Internal Medicine | Infectious Disease |
No ID Information.