Organization
BEVERLY RADIOLOGY MEDICAL GROUP
Active
Other names
AV MRI MEDICAL CLINIC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HOWARD G. BERGER M.D. (PRESIDENT)
(661) 949-8280
Entity
Organization
Contact information
Practice address
43713 20TH ST W, LANCASTER, CA 93534-4628
(661) 949-8280
(661) 942-1519
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
—
GR0043630
—
CA
01
—
ZZZ21410Z
BLUE SHIELD
CA
Enumeration date
06/02/2006
Last updated
08/22/2020
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