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NPI Code Detail

MEDICARE: DR. ROBIN G. BERGLUND M.D.

MEDICARE:  DR. ROBIN G. BERGLUND  M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
12084P0800XPsychiatry PhysicianA61225CA
22084P0800XPsychiatry PhysicianMD11132HI
32084P0804XChild & Adolescent Psychiatry PhysicianA61225CA
42084P0804XChild & Adolescent Psychiatry PhysicianMD11132HI

General Provider Information

NPI Number : 1033202361
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ROBIN G. BERGLUND M.D.
Provider Business Mailing Address
First Line : 4419 VAN NUYS BLVD
Second Line : SUITE 204
City : SHERMAN OAKS
State : CA
Zip : 91403-2910
Country : US
Telephone Number : 818-784-4706
Fax Number :
Provider Business Practice Location Address
First Line : 4419 VAN NUYS BLVD
Second Line : SUITE 204
City : SHERMAN OAKS
State : CA
Zip : 91403-2910
Country : US
Telephone Number : 818-784-4706
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/30/2006
Last Update Date : 09/11/2025

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Directions to “ DR. ROBIN G. BERGLUND M.D.” Practice Location

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