DWIGHT A BERGQUIST MD INC
Psychiatric in Lakewood, CA

License number
California G38711
Category
Psychiatric
Type
Psychiatry
Owner
Name: DR. DWIGHT A BERGQUIST M.D.
Title: CEO
Phone: (562) 804-4428
Address
Address
5230 N. Clark Ave SUITE 10, Lakewood, CA 90712
National Provider ID: 1003110495
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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DWIGHT A. BERGQUIST, M.D., INC

5230 N Clark Ave #10, Lakewood, CA 90712

Industry:
Psychiatrist
Doing business as:
Dwight Bergquist MD
Registration:
Feb 26, 1982
Site:
caremoremedical.com
Phone:
(310) 701-1210 (Phone)
State ID:
C1067164
Dwight Alan Bergquist
Agent:
Dwight A Berquist,Lakewood, CA 90712 (Physical)

Psychiatric licenses in California



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