Julie Alison Bergman
Adolescent Medicine
855 3rd Ave Ste 2200
Chula Vista
, California 91911-1353
Julie Alison Bergman
Adolescent Medicine
855 3rd Ave Ste 2200
Chula Vista
, California 91911-1353
(619) 426-2170
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About
Features
Specialties
- Adolescent Medicine
Languages spoken
- English
Location
First Address
- Julie Alison Bergman
- 855 3rd Ave Ste 2200
- Chula Vista, CA
- Zip : 91911-1353
- Fax : (619) 426-2170
- Phone : (619) 426-0100
Second Address
- Julie Alison Bergman
- 855 3rd Ave Ste 2200
- Chula Vista, CA
- Zip : 91911-1353
- Fax : (619) 426-2170
- Phone : (619) 426-0100
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 2080A0000X | Adolescent Medicine | 16085 | CA |
National Provider Identifier
| NPI | 1285839985 |
|---|---|
| Provider Name | Julie Alison Bergman |
| First Address | Chula Vista, CA 91911-1353 |
| Second Address | Chula Vista, CA 91911-1353 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 20/06/2007 |
| Last Update Date | 08/07/2007 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 16085 | LICENSE (01) | CA |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.