Organization
TEODORA M. BONUAN MD A MED CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TEODORA MALALUAN BONUAN MD (PRESIDENT)
(562) 804-1311
Entity
Organization
Contact information
Practice address
10230 ARTESIA BLVD, SUITE 300, BELLFLOWER, CA 90706-6763
(562) 804-1311
(562) 804-2263
Mailing address
10230 ARTESIA BLVD, SUITE 300, BELLFLOWER, CA 90706-6763
(562) 804-1311
(562) 804-2263
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A336971
—
CA
Enumeration date
07/13/2006
Last updated
08/22/2020
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