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BEVERLY RADIOLOGY MEDICAL GROUP III NPI 1962457812


NPI Information

NPI: 1962457812
Provider Name: BEVERLY RADIOLOGY MEDICAL GROUP III
Classification: Radiology - 2085R0202X
Entity Type: Organization

Specialization: Diagnostic Radiology

Address:
1510 COTNER AVE
LOS ANGELES, CA
ZIP 90025
Phone: (310) 445-2951
Get Directions

BEVERLY RADIOLOGY MEDICAL GROUP III is a diagnostic radiology radiology in Los Angeles, CA. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. BEVERLY RADIOLOGY MEDICAL GROUP III NPI is 1962457812. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1510 COTNER AVE
LOS ANGELES, CA
ZIP 90025-303
Phone: (310) 445-2951
Fax: (310) 479-1459

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 5/22/2006 and was last updated on 7/10/2017.


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

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1TP018MEDICARE PINCALIFORNIA
2TP054MEDICARE PINCALIFORNIA
3ZZZ03726ZMEDICARE PINCALIFORNIA
4TG256BMEDICARE PINCALIFORNIA
5W4653MEDICARE PINCALIFORNIA
6ZZZ23616ZMEDICARE PINCALIFORNIA
7TP051AMEDICARE PINCALIFORNIA
8W14186MEDICARE PINCALIFORNIA
9TG053MEDICARE PINCALIFORNIA
10W16629MEDICARE PINCALIFORNIA
11ZZZ15075ZMEDICARE PINCALIFORNIA
12TG054MEDICARE PINCALIFORNIA
13TG055MEDICARE PINCALIFORNIA
14TP009MEDICARE PINCALIFORNIA
15W11335MEDICARE PINCALIFORNIA
16W16629CMEDICARE PINCALIFORNIA
17TG056MEDICARE PINCALIFORNIA
18TG256AMEDICARE PINCALIFORNIA
19W16629BMEDICARE PINCALIFORNIA

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: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.