Healthcare Provider Details

I. General information

NPI: 1417389271
Provider Name (Legal Business Name): SAUL BERGER M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/04/2013
Last Update Date: 10/09/2025
Certification Date: 10/09/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4444 W RIVERSIDE DR STE 101
BURBANK CA
91505-4048
US

IV. Provider business mailing address

616 E. GLENOAKS BLVD. STE 202
GLENDALE CA
91207-1778
US

V. Phone/Fax

Practice location:
  • Phone: 818-245-6101
  • Fax: 818-245-6062
Mailing address:
  • Phone: 818-245-6101
  • Fax: 818-245-6062

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208200000X
TaxonomyPlastic Surgery Physician
License NumberG062436
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: