Individual
MR. MATTHEW BERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
R.D.
Contact information
Practice address
9961 SIERRA AVE, FONTANA, CA 92335-6720
(909) 427-7262
Mailing address
10922 CAMPUS ST, LOMA LINDA, CA 92354-2704
(909) 796-7102
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
957892
CA
Other
Enumeration date
01/16/2008
Last updated
01/16/2008
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