BONA FIDE SURGICAL ASSISTANCE NPI 1003270539

NPI Information

NPI: 1003270539
Provider Name: BONA FIDE SURGICAL ASSISTANCE
Classification: Physician Assistant - 363AS0400X
Entity Type: Organization

Specialization: Surgical

Address:
274 W BADILLO ST
COVINA, CA
ZIP 91723
Phone: (909) 294-7329
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BONA FIDE SURGICAL ASSISTANCE is a surgical physician assistant in Covina, CA. BONA FIDE SURGICAL ASSISTANCE NPI is 1003270539. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

274 W BADILLO ST
COVINA, CA
ZIP 91723
Phone: (909) 294-7329
Fax: (909) 912-8631

The provider's authorized official is Stephanie Duque Baron .
The authorized official title is Owner and has the following contact phone number (909) 294-7329.

The enumeration date for this NPI number is 4/11/2016 and was last updated on 10/7/2022.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363AS0400X	Physician Assistant	Surgical	PA 17201	CALIFORNIA	Yes

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

NPI Synchronization or Removal

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