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ESTEBAN BONFANTE MD INC NPI 1255696654


NPI Information

NPI: 1255696654
Provider Name: ESTEBAN BONFANTE MD INC
Classification: Pediatrics - 2080P0206X
Entity Type: Organization

Specialization: Pediatric Gastroenterology

Address:
1000 NEWBURY RD
SUITE 285
NEWBURY PARK, CA
ZIP 91320
Phone: (805) 376-0277
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ESTEBAN BONFANTE MD INC is a pediatric gastroenterology pediatrics in Newbury Park, CA. The provider is a pediatrician who specializes in the diagnosis and treatment of diseases of the digestive systems of infants, children and adolescents. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using lighted scopes to see internal organs. ESTEBAN BONFANTE MD INC NPI is 1255696654. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1000 NEWBURY RD
SUITE 285
NEWBURY PARK, CA
ZIP 91320-435
Phone: (805) 376-0277
Fax: (805) 376-0244

The provider's authorized official is Esteban Bonfante .
The authorized official title is President/ Owner and has the following contact phone number (310) 792-3914.

The enumeration date for this NPI number is 7/11/2012 and was last updated on 8/11/2014.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1208000000XPediatricsA86766CALIFORNIANo
22080P0206XPediatricsPediatric GastroenterologyA86766CALIFORNIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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