Bonita Cardiovascular Med Grp INC
Surgery in Bonita, CA. Organization (NPI-2).
NPI number1528126190
StatusActive
Last updated in NPPESApr 4, 2013
Details
- NPI
- 1528126190
- Entity type
- Organization (NPI-2)
- Legal business name
- Bonita Cardiovascular Med Grp INC
- Organization subpart
- No
- Enumeration date
- Dec 5, 2006
- Last updated
- Apr 4, 2013
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208600000X | Surgery | A30915 | CA | Yes |
Practice location
3916 Palm DriveBonita, CA 91902
Phone 619-267-6922 · Fax 619-267-2013
Mailing address
Po Box 1534Bonita, CA 91908-1534
Phone 619-267-6922 · Fax 619-267-2013
Authorized official
Lorenzo Gonzalez Lavin
President
6192676922
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
Other Surgery Physician providers in Bonita, CA
Checking a whole list?
Paste up to 5,000 NPIs and download status, name, taxonomy, license and address for each one. Useful for credentialing, billing and pharmacy claim checks.