# WHITTIER PRIMARY CARE PHYSICIANS MEDICAL GROUP INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** BERGMAN MEDICAL GROUP
- **Organization subpart:** No

## Provider details

- **NPI number:** 1639177520
- **Authorized official:** DR. ROSARIO LIM CECILIO MD (OWNER PRESIDENT)
- **Authorized official phone:** (562) 228-3073

## Contact information

- **Practice address:** 15111 WHITTIER BLVD, SUITE 102, WHITTIER, CA 90603-2136
- **Practice address phone:** (562) 945-6440
- **Practice address fax:** (562) 945-9121
- **Mailing address:** 15111 WHITTIER BLVD, SUITE 102, WHITTIER, CA 90603-2136
- **Mailing address phone:** (562) 945-6440
- **Mailing address fax:** (562) 945-9121

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | 20A3703 | CA | — |
| 208D00000X | General Practice Physician | A16292 | CA | — |
| 208D00000X | General Practice Physician | A40764 | CA | — |
| 208D00000X | General Practice Physician | A46551 | CA | Yes |
| 208D00000X | General Practice Physician | A48517 | CA | — |

## Other

- **Enumeration date:** 07/13/2005
- **Last updated:** 12/03/2021
