Bergman, David Evan

Bergman, David Evan is an individual health care provider with primary practice located at 101 E Valencia Mesa Dr , Fullerton CA 92835-3809. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as his primary health care specialty. Bergman, David Evan can be contacted via phone (714) 871-3280.

Contact Information

Primary practice address
101 E Valencia Mesa Dr Fullerton CA 92835-3809
Phone: (714) 871-3280
Fax: (714) 447-6490
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 20A8005 California

Profile Details

NPI number 1801848866
LBN Legal business name Bergman, David Evan
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date May 17th, 2006
Last updated Feb 19th, 2015 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1801848866 NPPES
California MEDICAID 00AX80050

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