Individual
DR. MICHAEL ADAM BERGEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6815 NOBLE AVE, VAN NUYS, CA 91405-3796
(818) 901-6600
Mailing address
5767 W CENTURY BLVD STE 400, LOS ANGELES, CA 90045-5631
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
A200667
CA
207X00000X
Orthopaedic Surgery Physician
MD19990
RI
Other
Enumeration date
05/22/2019
Last updated
08/01/2025
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