SOPHEA BERGEN

SAN DIEGO, CA
NPI1558300665
Former NameSOPHEA JOHANSEN
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: ID  PA972)
Enumeration Date2006-06-05
Last Update Date2019-11-07
Business Address
SOPHEA BERGEN PA-C
6719 ALVARADO RD STE 308
SAN DIEGO, CA 92120-5268
Phone number: 619-265-7912
Mailing Address
SOPHEA BERGEN PA-C
6719 ALVARADO RD STE 308
SAN DIEGO, CA 92120-5268
Phone number: 619-265-7912
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