Organization
DESERT ADVANCED IMAGING MEDICAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HOWARD G. BERGER MD (PRESIDENT)
(310) 445-2800
Entity
Organization
Contact information
Practice address
72855 FRED WARING DR, PALM DESERT, CA 92260-9368
(760) 346-1130
(760) 836-0385
Mailing address
1516 COTNER AVE, LOS ANGELES, CA 90025-3303
(310) 445-2951
(310) 479-1459
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GR0092470
—
CA
05
—
GR0092471
—
CA
05
—
GR0092472
—
CA
05
—
GR0092473
—
CA
05
—
GR0092474
—
CA
01
—
ZZZ01734Z
BLUE SHIELD
CA
01
—
ZZZ01735Z
BLUE SHIELD
CA
01
—
ZZZ01736Z
BLUE SHIELD
CA
01
—
ZZZ01737Z
BLUE SHIELD
CA
01
—
ZZZ01738Z
BLUE SHIELD
CA
01
—
ZZZ01739Z
BLUE SHIELD
CA
Enumeration date
05/19/2006
Last updated
03/28/2008
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