Individual
ANTRA PRIEDE BERGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
4405 VANDEVER AVE, SAN DIEGO, CA 92120-3315
(619) 528-5000
Mailing address
393 E WALNUT ST, 3RD FLOOR PHR SYSTEMS, PASADENA, CA 91188-0001
(626) 405-3640
(626) 405-6768
Taxonomy
Speciality
Code
Description
License number
State
2083X0100X
Occupational Medicine Physician
Primary
G23607
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G236070
—
CA
Enumeration date
03/21/2007
Last updated
07/08/2007
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