Healthcare Provider Details

I. General information

NPI: 1497287387
Provider Name (Legal Business Name): DANA SENDEROFF BERGER
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/30/2017
Last Update Date: 01/15/2026
Certification Date: 01/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

333 CITY BLVD W SUITE 1400
ORANGE CA
92868-2903
US

IV. Provider business mailing address

333 CITY BLVD W SUITE 1400
ORANGE CA
92868-2903
US

V. Phone/Fax

Practice location:
  • Phone: 714-456-5616
  • Fax: 714-456-8360
Mailing address:
  • Phone: 714-456-5616
  • Fax: 714-456-8360

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207VM0101X
TaxonomyMaternal & Fetal Medicine Physician
License Number315502
License Number StateNY
# 2
Primary TaxonomyN
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License NumberA158559
License Number StateCA
# 3
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: