Organization
BEVERLY RADIOLOGY MEDICAL GROUP III
Active
Other names
Anaheim Advanced Imaging
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HOWARD G. BERGER M.D. (CEO & PRESIDENT)
(310) 445-2800
Entity
Organization
Contact information
Practice address
710 N EUCLID ST, SUITE 102, ANAHEIM, CA 92801-4115
(714) 517-2099
Mailing address
710 N EUCLID ST, SUITE 102, ANAHEIM, CA 92801-4115
(714) 517-2099
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
G19870
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
W4653
MEDICARE PTAN
CA
Enumeration date
03/08/2010
Last updated
04/01/2025
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