Provider Demographics
NPI:1639351687
Name:BERGER, OMRI (MD)
Entity Type:Individual
Prefix:DR
First Name:OMRI
Middle Name:
Last Name:BERGER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:145 CORTE MADERA TOWN CTR # 193
Mailing Address - Street 2:
Mailing Address - City:CORTE MADERA
Mailing Address - State:CA
Mailing Address - Zip Code:94925-1209
Mailing Address - Country:US
Mailing Address - Phone:415-745-5392
Mailing Address - Fax:415-735-3592
Practice Address - Street 1:300 TAMAL PLZ
Practice Address - Street 2:SUITE 140
Practice Address - City:CORTE MADERA
Practice Address - State:CA
Practice Address - Zip Code:94925-1129
Practice Address - Country:US
Practice Address - Phone:415-745-5392
Practice Address - Fax:415-735-3592
Is Sole Proprietor?:Yes
Enumeration Date:2007-12-01
Last Update Date:2016-10-27
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAA1007942084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry