Jose Dalio Berganza, MD | |
14514 Ramona Blvd, Suite 3, Baldwin Park, CA 91706-3305 | |
(626) 337-0424 | |
(626) 813-9095 |
Full Name | Jose Dalio Berganza |
---|---|
Gender | Male |
Speciality | Pediatrics |
Location | 14514 Ramona Blvd, Baldwin Park, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1003997032 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | A45608 (California) | Primary |
Entity Name | Jose D Berganza Md Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1962560896 PECOS PAC ID: 0941214225 Enrollment ID: O20060126000399 |
Mailing Address | Practice Location Address |
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Jose Dalio Berganza, MD 14514 Ramona Blvd, Suite 3, Baldwin Park, CA 91706-3305 Ph: (626) 337-0424 | Jose Dalio Berganza, MD 14514 Ramona Blvd, Suite 3, Baldwin Park, CA 91706-3305 Ph: (626) 337-0424 |
Hla H. Kyi, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1011 Baldwin Park Blvd, Baldwin Park, CA 91706 Phone: 626-851-1011 | |
Pamela S. Wald, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1011 Baldwin Park Blvd, Baldwin Park, CA 91706 Phone: 626-851-1011 | |
Mohammed Ferozuddin, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1011 Baldwin Park Blvd, Baldwin Park, CA 91706 Phone: 626-851-1011 | |
Milagros P. Minaya, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1011 Baldwin Park Blvd, Baldwin Park, CA 91706 Phone: 626-851-1011 | |
Samia Gerets Ateia, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 14135 Francisquito Ave, #106, Baldwin Park, CA 91706 Phone: 626-960-3753 Fax: 626-962-9866 | |
Elenita C. Silva-aquino, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1011 Baldwin Park Blvd, Baldwin Park, CA 91706 Phone: 626-851-1011 |