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:
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Health care specialties

SpecialtyCodeLicense #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 18 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 1356466866 NPPES
California MEDICAID 00G236070

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