Organization · Type 2 NPI

Beverly Radiology Medical Group III

Diagnostic Radiology Physician · Victorville, CA

NPI number 1114112372 Active

Practice location

17260 Bear Valley Rd, Suite 109
Victorville, CA 92395-7777

Fax (310) 479-1459

Mailing address

1510 Cotner Ave
Los Angeles, CA 90025-3303

Specialties and licenses

TaxonomyCodeLicense
Diagnostic Radiology Physician Primary 2085R0202XNone listed

Diagnostic Radiology Physician: A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

4 other providers at this address

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About NPI 1114112372

Beverly Radiology Medical Group III's National Provider Identifier is 1114112372, issued on Sep 11, 2007. The primary taxonomy on file is Diagnostic Radiology Physician (2085R0202X), and the practice location is in Victorville, CA. The record was last updated on Oct 13, 2015.