Individual
JOSE DALIO BERGANZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
14514 RAMONA BLVD, SUITE 3, BALDWIN PARK, CA 91706-3305
(626) 337-0424
(626) 813-9095
Mailing address
14514 RAMONA BLVD, SUITE 3, BALDWIN PARK, CA 91706-3305
(626) 337-0424
(626) 813-9095
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
A45608
CA
Other
Enumeration date
10/18/2006
Last updated
07/08/2007
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