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Contact Information

RANDY E BERGEN, MD
1425 S MAIN ST
WALNUT CREEK, CA94596-5318
 Phone: 925-295-4000
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pediatric Infectious Diseases

2080P0208X 37 Physician/Pediatric Medicine
Indicates primary specialty

NPI Profile & details for RANDY E BERGEN · (Male)

NPI Number 1316025497
Status Active
Credentials MD
Entity Individual
Enumeration date 11/02/2006
Last updated 07/08/2007 - About 19 years ago
Sole proprietor 1 No
Identifiers
  • CA License # G52916
  • CA Medicaid 00G529160
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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