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WHITTIER PRIMARY CARE PHYSICIANS MEDICAL GROUP INC NPI 1639177520


NPI Information

NPI: 1639177520
Provider Name: WHITTIER PRIMARY CARE PHYSICIANS MEDICAL GROUP INC

Doing Business As: BERGMAN MEDICAL GROUP

Classification: General Practice - 208D00000X
Entity Type: Organization

CLIA Number: 05D0552240

Address:
15111 WHITTIER BLVD
SUITE 102
WHITTIER, CA
ZIP 90603
Phone: (562) 945-6440
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WHITTIER PRIMARY CARE PHYSICIANS MEDICAL GROUP INC is a general practice in Whittier, CA. The provider is a physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee WHITTIER PRIMARY CARE PHYSICIANS MEDICAL GROUP INC NPI is 1639177520. The provider is registered as an organization entity type and is a multiple single specialty group.
The provider Is Doing Business As Bergman Medical Group.

The provider's business location address is:

15111 WHITTIER BLVD
SUITE 102
WHITTIER, CA
ZIP 90603-136
Phone: (562) 945-6440
Fax: (562) 945-9121

The provider's authorized official is Rosario Lim Cecilio .
The authorized official title is Owner President and has the following contact phone number (562) 228-3073.

The CLIA number assigned to this NPI record is 05D0552240 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 7/13/2005 and was last updated on 12/3/2021.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1208D00000XGeneral PracticeA46551CALIFORNIAYes
2208D00000XGeneral Practice20A3703CALIFORNIANo
3208D00000XGeneral PracticeA16292CALIFORNIANo
4208D00000XGeneral PracticeA48517CALIFORNIANo
5208D00000XGeneral PracticeA40764CALIFORNIANo

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.