Organization
DESERT ADVANCED IMAGING 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
41120 WASHINGTON ST, JFK 2ND FLOOR, BERMUDA DUNES, CA 92203-9215
(760) 200-4168
(760) 200-4387
Mailing address
1037 N GRAND AVE, PMB 203, COVINA, CA 91724-2048
(626) 966-1580
(626) 967-7821
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GR0092473
—
CA
01
—
ZZZ01737Z
BLUE SHIELD
CA
Enumeration date
05/24/2006
Last updated
08/22/2020
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