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Bryan L. Berghout
Foot & Ankle Surgery Podiatrist in San Clemente, California
NPI 1962566703

Bryan L. Berghout is a Foot & Ankle Surgery Podiatrist based in Bothell, CA and is specialized in Foot & Ankle Surgery. Bryan L. Berghout practices in San Clemente, CA. The NPI Number for Bryan L. Berghout is 1962566703 and holds a License No. E4205 (California).

The current practice location address for Bryan L. Berghout is 629 Camino De Los Mares Ste 207, San Clemente, CA and can be reached out via phone at 949-433-5262 and via fax at 425-225-5458.

Location: 629 Camino De Los Mares Ste 207, San Clemente, CA, 98012-4750
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1962566703
Provider Name
Bryan L. Berghout
Credential
Provider Entity Type
Organization
Address
629 Camino De Los Mares Ste 207, San Clemente, CA, 98012-4750
Phone Number
949-433-5262
Fax Number
425-225-5458
Provider Enumeration Date
12/19/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
629 Camino De Los Mares Ste 207
City
San Clemente
State
California
Zip
92673-2832
Phone Number
949-433-5262
Fax Number
425-225-5458
person
Provider Business Mailing Address Details
Address
629 Camino De Los Mares Ste 207
City
San Clemente
State
California
Zip
92673-2832
Phone Number
949-433-5262
Fax Number
425-225-5458
person
Provider's Taxonomy Details 1
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
Foot & Ankle Surgery
Taxonomy
213ES0103X
License No.
E4205 (California)
Definition
Definition to come...
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