| Organization Name: | BERGMAN MEDICAL GROUP |
| NPI Number: | 1639177520 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | DAVID LEE (ADMINISTRATOR) |
| Mailing Address: | 15111 Whittier Blvd Suite 102 Whittier |
| State: | CA US |
| Postal Code: | 906032136 |
| Phone Number: | 5629456440 |
| Fax Number: | 5629459121 |
| NPI Enumeration Date: | 07/13/2005 |
| NPI Last Update Date: | 12/11/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | A40764 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | CA |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |