Provider Demographics
NPI:1598715922
Name:BERGER, DAVID L (MD)
Entity Type:Individual
Prefix:DR
First Name:DAVID
Middle Name:L
Last Name:BERGER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:7 REQUA PL
Mailing Address - Street 2:
Mailing Address - City:PIEDMONT
Mailing Address - State:CA
Mailing Address - Zip Code:94611-4036
Mailing Address - Country:US
Mailing Address - Phone:925-951-1366
Mailing Address - Fax:925-951-1385
Practice Address - Street 1:701 WELCH RD
Practice Address - Street 2:SUITE 216
Practice Address - City:PALO ALTO
Practice Address - State:CA
Practice Address - Zip Code:94304-1709
Practice Address - Country:US
Practice Address - Phone:650-323-0617
Practice Address - Fax:650-323-4229
Is Sole Proprietor?:No
Enumeration Date:2006-05-10
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAG43541207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAA49383Medicare UPIN
00G435411Medicare ID - Type Unspecified