Bergholtz, Amy
Bergholtz, Amy is an individual health care provider with primary practice located at 12450 Van Nuys Blvd Suite 200, Pacoima CA 91331-1391. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Bergholtz, Amy can be contacted via phone (818) 896-1161.Contact Information
Primary practice address
12450 Van Nuys Blvd Suite 200
Pacoima CA 91331-1391
Phone: (818) 896-1161
Fax: (818) 896-5069
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X |
Profile Details
| NPI number | 1124159454 |
|---|---|
| LBN Legal business name | Bergholtz, Amy |
| Credentials | B.S. |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 8th, 2007 |
| Last updated | Jul 9th, 2007 - about 17 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 | 1124159454 | NPPES |
| California | MEDICAID | 7420 | |
| California | MEDICAID | 7068 |
Popular Providers
-
Yu, William
12450 Van Nuys Blvd 200, Pacoima CA 91331-1391 -
Klein-Wachs, Taryn Ilana
12450 Van Nuys Blvd , Pacoima CA 91331-1391 -
Bragg-Hamilton, Elizabeth Dianne
12450 Van Nuys Blvd Suite 200, Pacoima CA 91331-1391 -
Tovar, Jose G
12450 Van Nuys Blvd , Pacoima CA 91331-1391 -
Solis, Nina Marie
12450 Van Nuys Blvd Suite 200, Pacoima CA 91331-1391 -
Thompson, Kylie Jo
12450 Van Nuys Blvd Suite 200, Pacoima CA 91331-1391 -
Powell, Priscilla
12450 Van Nuys Blvd Suite200, Pacoima CA 91331-1391 -
Samuelson, Cheryl
12450 Van Nuys Blvd Suite #200, Pacoima CA 91331-1391