Individual
DR. BONNIE CARY FREITAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
10833 LE CONTE AVE, LOS ANGELES, CA 90095-3075
(310) 825-7532
Mailing address
5767 W. CENTURY BLVD, #400, LOS ANGELES, CA 90045-5655
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
A61053
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A610530
—
CA
Enumeration date
02/07/2007
Last updated
02/11/2015
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