Provider Demographics
NPI:1053468298
Name:BERGULA, ARNIE PEREA (PAC)
Entity Type:Individual
Prefix:MR
First Name:ARNIE
Middle Name:PEREA
Last Name:BERGULA
Suffix:
Gender:M
Credentials:PAC
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Mailing Address - Street 1:14934 AMSO ST
Mailing Address - Street 2:
Mailing Address - City:POWAY
Mailing Address - State:CA
Mailing Address - Zip Code:92064-2635
Mailing Address - Country:US
Mailing Address - Phone:858-229-9613
Mailing Address - Fax:
Practice Address - Street 1:3771 KATELLA AVE
Practice Address - Street 2:SUITE 209
Practice Address - City:LOS ALAMITOS
Practice Address - State:CA
Practice Address - Zip Code:90720-3108
Practice Address - Country:US
Practice Address - Phone:562-314-1400
Practice Address - Fax:562-431-0564
Is Sole Proprietor?:No
Enumeration Date:2007-01-03
Last Update Date:2021-12-01
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CAPA18518207XS0114X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207XS0114XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryAdult Reconstructive Orthopaedic Surgery