Individual
RONNIE BERGEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
221 WESTWOOD PLZ, LOS ANGELES, CA 90095-6204
(310) 794-1195
(310) 983-1172
Mailing address
5767 W CENTURY BLVD STE 400, LOS ANGELES, CA 90045-5631
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
G146479
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
073841
—
AZ
01
—
130008650
RR MEDICARE
AZ
01
—
ZWCGCR
GROUP MEDICARE NUMBER
AZ
Enumeration date
02/06/2006
Last updated
01/15/2026
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