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BEVERLY RADIOLOGY MEDICAL GROUP NPI 1477872919


NPI Information

NPI: 1477872919
Provider Name: BEVERLY RADIOLOGY MEDICAL GROUP

Doing Business As: SAN BERNARDINO ADVANCED IMAGING

Classification: Radiology - 2085R0202X
Entity Type: Organization

Specialization: Diagnostic Radiology

Address:
800 E HIGHLAND AVE
SAN BERNARDINO, CA
ZIP 92404
Phone: (909) 799-5589
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BEVERLY RADIOLOGY MEDICAL GROUP is a diagnostic radiology radiology in San Bernardino, 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 1477872919. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As San Bernardino Advanced Imaging.

The provider's business location address is:

800 E HIGHLAND AVE
SAN BERNARDINO, CA
ZIP 92404-006
Phone: (909) 799-5589
Fax: (909) 881-8625

The provider's authorized official is Howard G. Berger .
The authorized official title is Ceo & President and has the following contact phone number (310) 445-4800.

The enumeration date for this NPI number is 5/24/2010 and was last updated on 11/22/2013.


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 RadiologyYes

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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