Individual
CHARLTON BALITON BERGADO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LVN
Contact information
Practice address
2001 E 4TH ST STE 200, SANTA ANA, CA 92705-3916
(714) 824-8140
Mailing address
2001 E 4TH ST STE 200, SANTA ANA, CA 92705-3916
(714) 824-8140
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
699316
CA
Other
Enumeration date
04/30/2019
Last updated
04/30/2019
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