Bergman, David Benjamin
Bergman, David Benjamin is an individual health care provider with primary practice located at 14750 El Camino Real , Del Mar CA 92014-4204. He recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as his primary health care specialty. Bergman, David Benjamin can be contacted via phone (858) 481-4411.Contact Information
Primary practice address
14750 El Camino Real
Del Mar CA 92014-4204
Phone: (858) 481-4411
Fax: (858) 792-7356
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | G19527 | California |
Profile Details
| NPI number | 1285737130 |
|---|---|
| LBN Legal business name | Bergman, David Benjamin |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 6th, 2006 |
| Last updated | Oct 22nd, 2009 - about 15 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 | 1285737130 | NPPES |
| California | MEDICAID | 00G195270 |
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