Organization Name: | BEVERLY RADIOLOGY MEDICAL GROUP |
NPI Number: | 1184981409 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | HOWARD G. BERGER (CEO & PRESIDENT) |
Mailing Address: | 15651 Imperial Hwy Suite 103 La Mirada |
State: | CA US |
Postal Code: | 906381628 |
Phone Number: | 5629473870 |
Fax Number: | |
NPI Enumeration Date: | 04/12/2012 |
NPI Last Update Date: | 04/12/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2085R0202X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Radiology |
Taxonomy Specialization: | Diagnostic Radiology |
Taxonomy Definition: | A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |