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Individual

DR. ROBERT A. BONAKDAR

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
10820 N TORREY PINES RD, LA JOLLA, CA 92037
(858) 554-3300
(858) 784-5933
Mailing address
10790 RANCHO BERNARDO RD, SAN DIEGO, CA 92127-5705
(858) 554-3301
(858) 554-2965

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
A70723
CA
208VP0000X
Pain Medicine Physician
Primary
A70723
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00A707230
CA
Enumeration date
06/09/2006
Last updated
07/31/2018
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