Individual provider · Type 1 NPI

Henry Bergquist

Student in an Organized Health Care Education/Training Program · Los Angeles, CA

NPI number 1497286637 Active

Practice location

2020 Zonal Ave Ste IRD624
Los Angeles, CA 90089-0121

Call (323) 409-6771 Map

Mailing address

51 N Wiota St
Philadelphia, PA 19104-2212

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1497286637

Henry Bergquist's National Provider Identifier is 1497286637, issued on Mar 21, 2017. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Los Angeles, CA. The record was last updated on Mar 21, 2017.