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1104375427
EDUARDO BERGANZA
TARZANA, CA
NPI
1104375427
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
175T00000X Peer Specialist
Additional Taxonomies
172V00000X Community Health Worker
Enumeration Date
2016-09-28
Last Update Date
2023-06-30
Business Address
EDUARDO BERGANZA
18700 OXNARD ST
TARZANA, CA 91356-1413
Phone number: 818-996-1051
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Mailing Address
EDUARDO BERGANZA
18700 OXNARD ST
TARZANA, CA 91356-1413
Phone number: 818-996-1051
Copy
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