| Bergman Medical Group | |
|
15111 Whittier Blvd Suite 102 Whittier CA 90603-2136 | |
| (562) 945-6440 | |
| (562) 945-9121 |
| Full Name | Bergman Medical Group |
|---|---|
| Speciality | General Practice |
| Location | 15111 Whittier Blvd, Whittier, California |
| Authorized Official Name and Position | Rosario Lim Cecilio (OWNER PRESIDENT) |
| Authorized Official Contact | 5622283073 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Bergman Medical Group 15111 Whittier Blvd Suite 102 Whittier CA 90603-2136 Ph: (562) 945-6440 | Bergman Medical Group 15111 Whittier Blvd Suite 102 Whittier CA 90603-2136 Ph: (562) 945-6440 |
| NPI Number | 1639177520 |
|---|---|
| Provider Enumeration Date | 07/13/2005 |
| Last Update Date | 12/03/2021 |
| Medicare PECOS PAC ID | 2264468883 |
|---|---|
| Medicare Enrollment ID | O20050714000272 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639177520 | NPI | - | NPPES |
| Provider Name | Stanley A Kaller |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1013917145 PECOS PAC ID: 4183650807 Enrollment ID: I20050714000256 |
| Provider Name | Rosario L Cecilio |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1841299898 PECOS PAC ID: 3779742671 Enrollment ID: I20120313000522 |
| Provider Name | Dwight A David |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1487653531 PECOS PAC ID: 4880853654 Enrollment ID: I20120314000440 |
| Provider Name | Shokouh Tamadon |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1992703912 PECOS PAC ID: 6305005117 Enrollment ID: I20120314000840 |
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