| John A Berger M.d. A Professional Corporation | |
|
205 Walnut Ave San Diego CA 92103-4903 | |
| (619) 295-2147 | |
| (619) 295-2328 |
| Full Name | John A Berger M.d. A Professional Corporation |
|---|---|
| Speciality | Family Medicine |
| Location | 205 Walnut Ave, San Diego, California |
| Authorized Official Name and Position | John A Berger (PRESIDENT) |
| Authorized Official Contact | 6192952147 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| John A Berger M.d. A Professional Corporation 205 Walnut Ave San Diego CA 92103-4903 Ph: (619) 295-2147 | John A Berger M.d. A Professional Corporation 205 Walnut Ave San Diego CA 92103-4903 Ph: (619) 295-2147 |
| NPI Number | 1295919157 |
|---|---|
| Provider Enumeration Date | 12/27/2007 |
| Last Update Date | 02/27/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295919157 | NPI | - | NPPES |
| 00G163670 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | G16367 (California) | Primary |
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