BRYAN L. BERGHOUT, DPM PC
Medical Practice at Camino De Los Mares, San Clemente, CA

License number
California E4205
Category
Medical Practice
Type
Foot & Ankle Surgery
Owner
Name: DR. BRYAN LEONARD BERGHOUT DPM
Title: OWNER PRESIDENT
Phone: (949) 433-5262
Address
Address 2
629 Camino De Los Mares STE 207, San Clemente, CA 92673
3600 158Th Pl SE, Bothell, WA 98012
National Provider ID: 1518047794
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

See more information about BRYAN L. BERGHOUT, DPM PC at bizstanding.com

BRYAN L. BERGHOUT, D.P.M., PROFESSIONAL CORPORATION

629 Camino De Los Mares STE 207, San Clemente, CA 92673

Status:
Inactive
Registration:
Jan 25, 2001
State ID:
C2242777
Business type:
Articles of Incorporation
President:
Bryan L. Berghout President, inactive
Agent:
Bryan L Berghout,San Clemente, CA 92673 (Physical)

Medical Practice licenses in California










Other Doctors licenses in California