Victor Valley Advanced Imaging
Radiology, Diagnostic Radiology in Victorville, CA. Organization (NPI-2).
Details
- NPI
- 1497941264
- Entity type
- Organization (NPI-2)
- Legal business name
- Victor Valley Advanced Imaging
- Organization subpart
- No
- Enumeration date
- Sep 14, 2007
- Last updated
- Jun 3, 2009
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2085R0202X | Radiology, Diagnostic Radiology | – | – | Yes |
Practice location
15247 Eleventh StSuite 700
Victorville, CA 92395-3727
Phone 310-445-2851 · Fax 310-479-1459
Mailing address
1516 Cotner AveLos Angeles, CA 90025-3303
Phone 310-445-2851 · Fax 310-479-1459
Authorized official
Howard G. Berger
President
3104452851
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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