Organization
ESTEBAN BONFANTE MD INC
Active
Organization
ESTEBAN BONFANTE MD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ESTEBAN BONFANTE M.D. (PRESIDENT/ OWNER)
(310) 792-3914
Entity
Organization
Contact information
Practice address
1000 NEWBURY RD, SUITE 285, NEWBURY PARK, CA 91320-6435
(805) 376-0277
(805) 376-0244
Mailing address
PO BOX 3098, TORRANCE, CA 90510-3098
(310) 792-3914
(855) 898-4055
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
A86766
CA
2080P0206X
Pediatric Gastroenterology Physician
Primary
A86766
CA
Other
Enumeration date
07/11/2012
Last updated
08/11/2014
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