# BONNIE V. BOCK MD

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1750463352
- **Authorized official:** MS. BONNIE VIRGINIA BOCK MD (PRESIDENT)
- **Authorized official phone:** (949) 645-9010

## Contact information

- **Practice address:** 1501 SUPERIOR AVE, SUITE 300, NEWPORT BEACH, CA 92663
- **Practice address phone:** (949) 645-9010
- **Practice address fax:** (949) 645-1003
- **Mailing address:** 1501 SUPERIOR AVE STE \#300, NEWPORT BEACH, CA 92663
- **Mailing address phone:** (949) 645-9010
- **Mailing address fax:** (949) 645-1003

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RI0200X | Infectious Disease Physician | G35572 | CA | Yes |

## Other

- **Enumeration date:** 10/20/2006
- **Last updated:** 01/06/2014