VICTOR VALLEY ADVANCED IMAGING NPI 1497941264

NPI Information

VICTOR VALLEY ADVANCED IMAGING is a diagnostic radiology radiology in Victorville, CA. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. VICTOR VALLEY ADVANCED IMAGING NPI is 1497941264. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

15247 ELEVENTH ST
SUITE 700
VICTORVILLE, CA
ZIP 92395-727
Phone: (310) 445-2851
Fax: (310) 479-1459

The provider's authorized official is Howard G. Berger .
The authorized official title is President and has the following contact phone number (310) 445-2851.

The CLIA number assigned to this NPI record is 05D2054158 - hospital with a certificate type of Certificate of Accreditation.

The enumeration date for this NPI number is 9/14/2007 and was last updated on 6/3/2009.

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:

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