Beverly Radiology Medical Group
Radiology, Diagnostic Radiology in Van Nuys, CA. Organization (NPI-2).
NPI number1164760823
StatusActive
Last updated in NPPESJan 30, 2013
Details
- NPI
- 1164760823
- Entity type
- Organization (NPI-2)
- Legal business name
- Beverly Radiology Medical Group
- Organization subpart
- No
- Enumeration date
- Jan 30, 2013
- Last updated
- Jan 30, 2013
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2085R0202X | Radiology, Diagnostic Radiology | FNP 43686 | CA | Yes |
Other names
- Vanowen Advanced Imaging (Doing Business As)
Practice location
15243 Vanowen StVan Nuys, CA 91405-3605
Phone 818-782-6110 · Fax 818-782-7354
Mailing address
15243 Vanowen StVan Nuys, CA 91405-3605
Phone 818-782-6110 · Fax 818-782-7354
Authorized official
Howard G. Berger
Ceo & President
3104452800
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