1811183874 NPI number — JULIE BERGMANN

Table of content: (NPI 1811183874)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1811183874 NPI number — JULIE BERGMANN

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
JULIE BERGMANN
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
SOUTHERN CALIFORNIA AQUATIC THERAPY
Provider Other Organization Name Type Code:
3
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1811183874
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
07/13/2020
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
16271 BEACH BLVD
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
HUNTINGTON BEACH
Provider Business Mailing Address State Name:
CA
Provider Business Mailing Address Postal Code:
92647-4102
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
714-375-1755
Provider Business Mailing Address Fax Number:
714-375-1757

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
16271 BEACH BLVD
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
HUNTINGTON BEACH
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
92647-4102
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
714-375-1755
Provider Business Practice Location Address Fax Number:
714-375-1757
Provider Enumeration Date:
09/23/2007

Additional Information

Authorized Official

Authorized Official Last Name:
BERGMANN
Authorized Official First Name:
JULIE
Authorized Official Middle Name:
A
Authorized Official Title or Position:
OWNER/CEO
Authorized Official Telephone Number:
714-375-1755

Provider Taxonomy Codes

  • Taxonomy code: 174400000X , with the licence number:  PT16279 , registered in the state of CA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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