Individual provider · NPI-1

Michael L. Bonin, MD

Pathology, Blood Banking & Transfusion Medicine · San Diego, CA

NPI number1003964974
StatusActive
Last updated in NPPESJul 8, 2007

Details

NPI
1003964974
Entity type
Individual (NPI-1)
Name
Michael L. Bonin
Credential
MD
Sex
Male
Sole proprietor
No
Enumeration date
Jan 8, 2007
Last updated
Jul 8, 2007

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207ZB0001X Pathology, Blood Banking & Transfusion MedicineG28187CAYes

Practice location

4405 Vandever Ave
San Diego, CA 92120-3315

Phone 619-528-5000

Mailing address

393 E Walnut St
3rd Floor Phr Systems
Pasadena, CA 91188-0001

Phone 626-405-3640 · Fax 626-405-6768

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