| Doctor Name: | MRS. GAYLA BERGMAN |
| NPI Number: | 1235141706 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | |
| License Number: | 288698 |
| Business Practice Address: | 4979 Loma Ave Temple City, CA - 917803019 |
| Business Phone Number: | 6262854095 |
| Business Fax Number: | |
| Mailing Address: | 4979 Loma Ave, TEMPLE CITY |
| State: | CA |
| Postal Code: | 917803019 |
| Phone Number: | 6262854095 |
| Fax Number: | |
| NPI Enumeration Date: | 08/13/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 364SP2800X |
| License Number: | 288698 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Clinical Nurse Specialist |
| Taxonomy Specialization: | Perioperative |
| Taxonomy Definition: | |