Provider Demographics
NPI:1902030414
Name:BERGUIG, MILANA LUISA (MD)
Entity Type:Individual
Prefix:
First Name:MILANA
Middle Name:LUISA
Last Name:BERGUIG
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1725 MONTGOMERY ST
Mailing Address - Street 2:SUITE 200
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94111-1030
Mailing Address - Country:US
Mailing Address - Phone:415-666-1250
Mailing Address - Fax:
Practice Address - Street 1:1725 MONTGOMERY ST
Practice Address - Street 2:SUITE 200
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94111-1030
Practice Address - Country:US
Practice Address - Phone:415-666-1250
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-05-12
Last Update Date:2013-06-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA11111111111207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology