Individual
DR. DWIGHT ALAN BERGQUIST
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5230 N. CLARK AVE. #10, LAKEWOOD, CA 90712
(562) 804-4428
(562) 867-5264
Mailing address
5230 N. CLARK AVE. #10, LAKEWOOD, CA 90712
(562) 804-4428
(562) 867-5264
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
G38711
CA
Other
Enumeration date
10/04/2006
Last updated
10/19/2007
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