Individual
DANIEL CHARLES BERGMANN JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
405 W 5TH ST, SANTA ANA, CA 92701-4599
(717) 834-7324
Mailing address
1919 E BIRCH ST APT MM29, BREA, CA 92821-4326
(909) 319-4010
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
Primary
95167292
CA
Other
Enumeration date
04/01/2019
Last updated
04/01/2019
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