Priede Berger, Antra
Priede Berger, Antra is an individual health care provider with primary practice located at 4405 Vandever Ave , San Diego CA 92120-3315. She recently has only one registered license in Allopathic & Osteopathic Physicians / Occupational Medicine, which is considered as her primary health care specialty. Priede Berger, Antra can be contacted via phone (619) 528-5000.Contact Information
Primary practice address
4405 Vandever Ave
San Diego CA 92120-3315
Phone: (619) 528-5000
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Occupational Medicine | 2083X0100X | G23607 | California |
Profile Details
| NPI number | 1356466866 |
|---|---|
| LBN Legal business name | Priede Berger, Antra |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 21st, 2007 |
| Last updated | Jul 8th, 2007 - about 19 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1356466866 | NPPES |
| California | MEDICAID | 00G236070 |
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