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Individual

DR. DAVID BENJAMIN BERGMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
14750 EL CAMINO REAL, DEL MAR, CA 92014-4204
(858) 481-4411
(858) 792-7356
Mailing address
14750 EL CAMINO REAL, CASA PALMERA, DEL MAR, CA 92014-4204
(858) 481-4411
(858) 792-7356

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
G19527
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00G195270
CA
Enumeration date
09/06/2006
Last updated
10/22/2009
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