Berry, David L

Berry, David L is an individual health care provider with primary practice located at 999 San Bernardino Rd , Upland CA 91786-4920. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Berry, David L can be contacted via phone (909) 466-4231.

Contact Information

Primary practice address
999 San Bernardino Rd Upland CA 91786-4920
Fax: (909) 456-1255
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X C33887 California

Profile Details

NPI number 1932135886
LBN Legal business name Berry, David L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 23rd, 2006
Last updated Jul 8th, 2007 - about 17 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1932135886 NPPES
California MEDICAID GR0014700

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