Folsom, Bergen Elizabeth

Folsom, Bergen Elizabeth is an individual health care provider with primary practice located at 3003 Health Center Drive , San Diego CA 92123. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine. Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine is her primary health care specialty. Folsom, Bergen Elizabeth can be contacted via phone (858) 939-4198.

Contact Information

Primary practice address
3003 Health Center Drive San Diego CA 92123
Fax: (858) 939-4972
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X A88203 California
Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine 2080N0001X A88203 California

Profile Details

NPI number 1093809667
LBN Legal business name Folsom, Bergen Elizabeth
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 3rd, 2006
Last updated Jul 24th, 2019 - about 5 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 1093809667 NPPES
California MEDICAID 00A901670

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