Individual
ERIC BERGEMANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
6801 COLDWATER CANYON AVE, 1 B, NORTH HOLLYWOOD, CA 91605-5162
(818) 763-1718
(818) 763-7231
Mailing address
6801 COLDWATER CANYON AVE, 1 B, NORTH HOLLYWOOD, CA 91605-5162
(818) 763-1718
(818) 763-7231
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
IMF45578
CA
Other
Enumeration date
06/07/2007
Last updated
09/28/2007
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