Individual
MRS. RONNI GORDON BERGMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
401 SO FAIR OAKS AVE, PASADENA, CA 91105
(626) 795-2244
(626) 795-5480
Mailing address
695 SO MADISON AVE, PASADENA, CA 91106
(626) 792-3792
(626) 577-5206
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
206251
CA
363LP0200X
Pediatric Nurse Practitioner
NPF2207
CA
Other
Enumeration date
05/18/2006
Last updated
11/05/2012
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