Matthew Allan Bergendahl is a student in an organized health care education training program in Fontana, CA. The provider is an individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. Matthew Allan Bergendahl NPI is 1417650268. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
The provider's business location address is:
17234 VALLEY BLVD
BUILDING A
FONTANA, CA
ZIP 92335-720
Phone: (657) 248-9435
The enumeration date for this NPI number is 3/22/2023 and was last updated on 9/28/2023.