Individual
BARUCH BERGMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RADT
Contact information
Practice address
2010 S GARTH AVE APT 11, LOS ANGELES, CA 90034-1570
(347) 526-6124
Mailing address
2010 S GARTH AVE APT 11, LOS ANGELES, CA 90034-1570
(347) 526-6124
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
R1291520218
CA
Other
Enumeration date
03/01/2018
Last updated
03/13/2018
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