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
81880 DR CARREON BLVD, SUITE A102, INDIO, CA 92201-5559
(760) 863-3857
(760) 863-5249
Mailing address
1037 N GRAND AVE, PMB 203, COVINA, CA 91724-2048
(760) 863-3857
(760) 863-5249
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GR0092474
—
CA
01
—
ZZZ01739Z
BLUE SHIELD
CA
Enumeration date
05/24/2006
Last updated
08/22/2020
Update your record
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