Individual
BRIAN BERGERON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
N.P.
Contact information
Practice address
127 S SAN VICENTE BLVD STE A3600, LOS ANGELES, CA 90048-3311
(310) 423-3851
(310) 423-3522
Mailing address
4140 W 190TH ST, TORRANCE, CA 90504-5513
(310) 423-3851
(310) 423-3522
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
RN2275289
MA
363LA2100X
Acute Care Nurse Practitioner
Primary
95037713
CA
Other
Enumeration date
03/11/2015
Last updated
01/26/2026
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