Organization
BEVERLY RADIOLOGY MEDICAL GROUP III
Active
Other names
Burbank Imaging Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HOWARD G. BERGER M.D. (CEO & PRESIDENT)
(310) 445-2800
Entity
Organization
Contact information
Practice address
2601 W ALAMEDA AVE STE 101, BURBANK, CA 91505-4810
(818) 843-7462
Mailing address
2601 W ALAMEDA AVE STE 101, BURBANK, CA 91505-4810
(818) 843-7462
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
G19870
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
W22324A
MEDICARE GROUP PTAN
—
Enumeration date
03/23/2010
Last updated
03/28/2025
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