Justin Bergh, DO
Obstetrics & Gynecology in Escondido, CA. Individual provider (NPI-1).
NPI number1336646751
StatusActive
Last updated in NPPESNov 15, 2023
Details
- NPI
- 1336646751
- Entity type
- Individual (NPI-1)
- Name
- Justin Bergh
- Credential
- DO
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Apr 11, 2018
- Certification date
- Nov 15, 2023
- Last updated
- Nov 15, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207V00000X | Obstetrics & Gynecology | 20A22196 | CA | Yes |
| 207V00000X | Obstetrics & Gynecology | 036160174 | IL |
Practice location
2130 Citracado Pkwy Ste 320Escondido, CA 92029-4151
Phone 858-485-0130
Mailing address
2130 Citracado Pkwy Ste 320Escondido, CA 92029-4151
Phone 858-485-0130
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