MEDICARE: DR. KERI BERGIN MD

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
1	207VE0102X	Reproductive Endocrinology Physician	A202799	CA

General Provider Information

NPI Number	:	1346744703
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. KERI BERGIN MD

Provider Business Mailing Address
First Line	:	11500 W OLYMPIC BLVD STE 150
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90064-1527
Country	:	US
Telephone Number	:	424-293-8841
Fax Number	:

Provider Business Practice Location Address
First Line	:	11500 W OLYMPIC BLVD STE 150
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90064-1527
Country	:	US
Telephone Number	:	424-293-8841
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/21/2018
Last Update Date	:	07/14/2025

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