Organization
RANCHO BERNARDO ADVANCED IMAGING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HOWARD G. BERGER MD (PRESIDENT)
(310) 445-2800
Entity
Organization
Contact information
Practice address
17065 CAMINO SAN BERNARDO BLDG 400, SUITE 100, SAN DIEGO, CA 92127-5709
(858) 592-2369
(858) 592-2653
Mailing address
PO BOX 240086, LOS ANGELES, CA 90024-9186
(310) 445-2800
(310) 445-2816
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GR0093210
—
CA
01
—
ZZZ05125Z
BLUE SHIELD
CA
Enumeration date
02/01/2007
Last updated
08/22/2020
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