Individual
KEL M BERGMANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
C.P.O.
Contact information
Practice address
1319 W CARSON ST, TORRANCE, CA 90501-3909
(310) 320-5777
(310) 320-6341
Mailing address
7720 CARDINAL CT, SAN DIEGO, CA 92123-3333
(858) 292-7449
(858) 292-5496
Taxonomy
Speciality
Code
Description
License number
State
222Z00000X
Orthotist
—
—
224P00000X
Prosthetist
Primary
—
—
Other
Enumeration date
01/31/2008
Last updated
03/20/2008
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