Dwight Alan Bergquist in Lakewood - Psychiatry
Dwight Alan Bergquist - NPI 1053407544
Dwight Alan Bergquist is a Psychiatry in Lakewood, California. Dwight Alan Bergquist practices all healthcare services and medical treatments related to Psychiatry. The NPI Number for Dwight Alan Bergquist is 1053407544. The last update date is 2007-10-19.
Dwight Alan Bergquist's current location address is 5230 N. Clark Ave. #10, Lakewood, California. You can contact this provider via phone number 5628044428 and fax number 5628675264. The mailing address for Dwight Alan Bergquist is 5230 N. Clark Ave. #10, Lakewood, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Dwight Alan Bergquist |
|---|---|
| Address | 5230 N. Clark Ave. #10, Lakewood, California |
| Phone Number | 5628044428 |
| Fax Number | 5628675264 |
| Sole Proprietor | Y |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1053407544 |
|---|---|
| Provider Enumeration Date | 2006-10-04 |
| Last Updated Date | 2007-10-19 |
Provider Mailing Address Detail
| Address | 5230 N. Clark Ave. #10 |
|---|---|
| City | Lakewood |
| State | California (CA) |
| Post Code | 90712 |
| Phone Number | 5628044428 |
| Fax Number | 5628675264 |
Provider's Primary Taxonomy Detail
| Speciality | Psychiatry |
|---|---|
| Taxonomy | 2084P0800X |
| Licence No | G38711 |
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Definition: A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment |
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What is the unique 10-digit identification code assigned to Dwight Alan Bergquist by the Centers for Medicare & Medicaid Services?
The Dwight Alan Bergquist has been issued the NPI (National Provider Identifier) 1053407544, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Dwight Alan Bergquist's physical address?
The Dwight Alan Bergquist is physically located at 5230 N. Clark Ave. #10, in the city of Lakewood, CA, with the postal code 90712.
What is Dwight Alan Bergquist's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Dwight Alan Bergquist's specialized field of practice is Psychiatry, and the corresponding taxonomy code that categorizes this area of specialization is 2084P0800X.
On what date did the Centers for Medicare & Medicaid Services assign the 1053407544 to Dwight Alan Bergquist?
The Centers for Medicare & Medicaid Services assigned the 1053407544 to Dwight Alan Bergquist on 2006-10-04.
When was the information regarding Dwight Alan Bergquist most recently updated?
The details pertaining to the Dwight Alan Bergquist, including its address, specialty, and other relevant information, were last refreshed on 2007-10-19.