Sophea Bergen in San Diego - Physician Assistant
Sophea Bergen - NPI 1558300665
Sophea Bergen is a Physician Assistant in San Diego, California. Sophea Bergen practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Sophea Bergen is 1558300665. The last update date is 2019-11-07.
Sophea Bergen's current location address is 6719 Alvarado Rd Ste 308, San Diego, California. You can contact this provider via phone number 6192657912 and fax number 6192657922. The mailing address for Sophea Bergen is 6719 Alvarado Rd Ste 308, San Diego, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Sophea Bergen |
|---|---|
| Address | 6719 Alvarado Rd Ste 308, San Diego, California |
| Phone Number | 6192657912 |
| Fax Number | 6192657922 |
| Sole Proprietor | N |
| Credentials | PA-C |
NPI Number Detail
| NPI Number | 1558300665 |
|---|---|
| Provider Enumeration Date | 2006-06-05 |
| Last Updated Date | 2019-11-07 |
Provider Mailing Address Detail
| Address | 6719 Alvarado Rd Ste 308 |
|---|---|
| City | San Diego |
| State | California (CA) |
| Post Code | 921205268 |
| Phone Number | 6192657912 |
| Fax Number | 6192657922 |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | PA972 |
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Definition: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor |
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What is the Sophea Bergen's unique identification number?
The Sophea Bergen has been assigned the NPI (National Provider Identifier) Number 1558300665 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
When did the Sophea Bergen receive its 1558300665?
The Sophea Bergen was issued its 1558300665 on 2006-06-05, which is the date when the organization was assigned this unique identifier.
On what date did the Sophea Bergen receive its 1558300665 assignment from the Centers for Medicare & Medicaid Services?
The Sophea Bergen was assigned its 1558300665 by the Centers for Medicare & Medicaid Services on 2006-06-05.
As of what date were the Sophea Bergen's details last updated?
The information pertaining to the Sophea Bergen, including its address, specialty, and other details, was most recently updated on 2019-11-07.
As of what date were the details related to Sophea Bergen most recently updated or revised?
The information pertaining to Sophea Bergen, including its address, specialty, and other relevant details, was last updated or revised on 2019-11-07.