Provider Demographics
NPI:1477983740
Name:BERSA MOBILE X RAY & ULTRASOUND INC.
Entity Type:Organization
Organization Name:BERSA MOBILE X RAY & ULTRASOUND INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ARNALDO
Authorized Official - Middle Name:ARMANDO
Authorized Official - Last Name:BERON
Authorized Official - Suffix:
Authorized Official - Credentials:CRT
Authorized Official - Phone:619-279-8172
Mailing Address - Street 1:619 S MIDWAY DR
Mailing Address - Street 2:
Mailing Address - City:ESCONDIDO
Mailing Address - State:CA
Mailing Address - Zip Code:92027-4003
Mailing Address - Country:US
Mailing Address - Phone:619-279-8172
Mailing Address - Fax:954-734-6399
Practice Address - Street 1:619 S MIDWAY DR
Practice Address - Street 2:
Practice Address - City:ESCONDIDO
Practice Address - State:CA
Practice Address - Zip Code:92027-4003
Practice Address - Country:US
Practice Address - Phone:954-515-7080
Practice Address - Fax:954-734-6399
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-11-22
Last Update Date:2022-10-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes335V00000XSuppliersPortable X-ray and/or Other Portable Diagnostic Imaging Supplier