Organization
BEVERLY RADIOLOGY MEDICAL GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HOWARD G BERGER MD (PRESIDENT)
(310) 445-2800
Entity
Organization
Contact information
Practice address
8750 WILSHIRE BLVD, BEVERLY HILLS, CA 90211-2713
(310) 689-3100
(310) 689-3130
Mailing address
PO BOX 240086, LOS ANGELES, CA 90024-9186
(310) 445-2800
(310) 445-2816
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GR0092133
—
CA
01
—
ZZZ07799Z
BLUE SHIELD
CA
Enumeration date
05/19/2006
Last updated
08/22/2020
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