Ronni Gordon Bergman in Pasadena - Pediatrics

Ronni Gordon Bergman - NPI 1942253117

Ronni Gordon Bergman is a Pediatrics in Pasadena, California. Ronni Gordon Bergman practices all healthcare services and medical treatments related to Pediatrics. The NPI Number for Ronni Gordon Bergman is 1942253117. The last update date is 2012-11-05.

Ronni Gordon Bergman's current location address is 401 So Fair Oaks Ave, Pasadena, California. You can contact this provider via phone number 6267952244 and fax number 6267955480. The mailing address for Ronni Gordon Bergman is 401 So Fair Oaks Ave, Pasadena, California. To know further, please read the information below!

Provider Profile Detail

Provider Name Ronni Gordon Bergman
Address 401 So Fair Oaks Ave, Pasadena, California
Phone Number 6267952244
Fax Number 6267955480
Sole Proprietor N
Credentials NP

NPI Number Detail

NPI Number 1942253117
Provider Enumeration Date 2006-05-18
Last Updated Date 2012-11-05

Provider Mailing Address Detail

Address 401 So Fair Oaks Ave
City Pasadena
State California (CA)
Post Code 91105
Phone Number 6267952244
Fax Number 6267955480

Provider's Primary Taxonomy Detail

Speciality Pediatrics
Taxonomy 363Lp0200X
Licence No 206251
Definition:
An advanced practice registered nurse expert in providing care to infants, children and adolescents.

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FAQs about Ronni Gordon Bergman

What is the unique identifier code issued to Ronni Gordon Bergman by the Centers for Medicare & Medicaid Services (CMS)?

The Ronni Gordon Bergman has been assigned the NPI (National Provider Identifier) 1942253117. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.

Could you please provide the complete street address where Ronni Gordon Bergman is physically located?

The Ronni Gordon Bergman is physically situated at the following address: 401 So Fair Oaks Ave, Pasadena, CA, 91105.

What is the Ronni Gordon Bergman's area of specialization and corresponding taxonomy classification?

The Ronni Gordon Bergman's specialty field is Pediatrics, and it falls under the taxonomy code 363Lp0200X, which categorizes healthcare providers based on their specialties.

On what date did the Ronni Gordon Bergman receive its 1942253117 assignment from the Centers for Medicare & Medicaid Services?

The Ronni Gordon Bergman was assigned its 1942253117 by the Centers for Medicare & Medicaid Services on 2006-05-18.

When was the information related to Ronni Gordon Bergman most recently updated or refreshed?

The details pertaining to the Ronni Gordon Bergman, including its address, specialty, and other relevant information, were last updated or refreshed on 2012-11-05.

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