Bergsneider, Marvin
Bergsneider, Marvin is an individual health care provider with primary practice located at 300 Medical Plz Suite 200, Los Angeles CA 90095-0001. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Neurological Surgery, Allopathic & Osteopathic Physicians / Surgery. Allopathic & Osteopathic Physicians / Neurological Surgery is his primary health care specialty. Bergsneider, Marvin can be contacted via phone (310) 825-5111.Contact Information
Primary practice address
300 Medical Plz Suite 200
Los Angeles CA 90095-0001
Phone: (310) 825-5111
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Neurological Surgery | 207T00000X | G65556 | California |
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | G65556 | California |
Profile Details
| NPI number | 1174502629 |
|---|---|
| LBN Legal business name | Bergsneider, Marvin |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 12th, 2006 |
| Last updated | Jul 16th, 2010 - about 16 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1174502629 | NPPES |
| California | MEDICAID | 00G655560 |
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