SearchCalifornia390200000X

Henry Bergquist

NPI 1497286637 · on the registry since 2017 · sole proprietor

Practice

Address
2020 Zonal Ave Ste Ird624
Los Angeles, CA 90089
Phone
(323) 409-6771
Organisation at this address
Lac Usc
Lac Usc Hospital
County Of Los Angeles
Lac-Usc Medical Center
Los Angeles County Department Of Mental Health
Inferred from a shared address, not stated in the registry.
Clinicians at this address
84

Registry record

Primary taxonomy
390200000X
390200000X
Licence states on file
CA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2017-03-21

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California