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Organization
WOODWARD PARK RADIOLOGY CENTER MED. GRP
Active
Organization
WOODWARD PARK RADIOLOGY CENTER MED. GRP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HOWARD G. BERGER MD (PRESIDENT)
(310) 445-2800
Entity
Organization
Contact information
Practice address
7055 N FRESNO ST, 203, FRESNO, CA 93720-2957
(559) 437-1880
(559) 437-1888
Mailing address
79 SCRIPPS DR, 100, SACRAMENTO, CA 95825-6208
(916) 921-1300
(916) 921-1095
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GR0081040
—
CA
01
—
ZZZ55191Z
BLUE SHIELD
CA
Enumeration date
07/10/2006
Last updated
08/22/2020
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