Organization · Type 2 NPI
Bryan L. Berghout
Foot & Ankle Surgery Podiatrist · San Clemente, CA
NPI number
1962566703
Active
Practice location
629 Camino De Los Mares Ste 207
San Clemente, CA 92673-2832
Fax (425) 225-5458
Mailing address
3600 158th Pl SE
Bothell, WA 98012-4750
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Foot & Ankle Surgery Podiatrist Primary | 213ES0103X | E4205 (CA) |
Foot & Ankle Surgery Podiatrist: Definition to come...
3 other providers at this address
Other foot & ankle surgery podiatrist providers in San Clemente
About NPI 1962566703
Bryan L. Berghout's National Provider Identifier is 1962566703, issued on Dec 19, 2006. The primary taxonomy on file is Foot & Ankle Surgery Podiatrist (213ES0103X), and the practice location is in San Clemente, CA. The record was last updated on Aug 22, 2020.