Individual
ERIC ANDREW BERGSTROM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
12490 W FIELDING CIR, PLAYA VISTA, CA 90094-3022
(424) 447-5797
Mailing address
12490 W FIELDING CIR, PLAYA VISTA, CA 90094-3022
(424) 447-5797
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
522036
CA
Other
Enumeration date
08/25/2025
Last updated
08/25/2025
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