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BEVERLY RADIOLOGY MEDICAL GROUP NPI 1164760823


NPI Information

NPI: 1164760823
Provider Name: BEVERLY RADIOLOGY MEDICAL GROUP

Doing Business As: VANOWEN ADVANCED IMAGING

Classification: Radiology - 2085R0202X
Entity Type: Organization

Specialization: Diagnostic Radiology

Address:
15243 VANOWEN ST
VAN NUYS, CA
ZIP 91405
Phone: (818) 782-6110
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BEVERLY RADIOLOGY MEDICAL GROUP is a diagnostic radiology radiology in Van Nuys, CA. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. BEVERLY RADIOLOGY MEDICAL GROUP NPI is 1164760823. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Vanowen Advanced Imaging.

The provider's business location address is:

15243 VANOWEN ST
VAN NUYS, CA
ZIP 91405-605
Phone: (818) 782-6110
Fax: (818) 782-7354

The provider's authorized official is Howard G. Berger .
The authorized official title is Ceo & President and has the following contact phone number (310) 445-2800.

The enumeration date for this NPI number is 1/30/2013 and was last updated on 1/30/2013.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12085R0202XRadiologyDiagnostic RadiologyFNP 43686CALIFORNIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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