Individual
SAMUEL JAMES BERGMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
18001 BURBANK BLVD, ENCINO, CA 91316-1605
(818) 675-0255
(818) 675-0255
Mailing address
18001 BURBANK BLVD, ENCINO, CA 91316-1605
(818) 675-0255
(818) 675-0255
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
RT1440450426
CA
Other
Enumeration date
07/21/2026
Last updated
07/21/2026
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