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Individual

JEFFREY MICHAEL BONNAUD

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MHS, PA-C

Contact information

Practice address
888 S FIGUEROA ST STE 1050, LOS ANGELES, CA 90017-5310
(213) 319-3339
Mailing address
888 S FIGUEROA ST STE 1050, LOS ANGELES, CA 90017-5310
(213) 319-3339

Taxonomy

Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
MAPA5192
MA
363AM0700X
Medical Physician Assistant
PA5192
MA
363AM0700X
Medical Physician Assistant
Primary
PA58902
CA

Other

Enumeration date
11/17/2014
Last updated
03/26/2021
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