Individual
EDUARDO BERGANZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
18700 OXNARD ST, TARZANA, CA 91356-1413
(818) 996-1051
Mailing address
18700 OXNARD ST, TARZANA, CA 91356-1413
(818) 996-1051
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
—
—
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
09/28/2016
Last updated
06/30/2023
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