Individual
BONNIE DVORAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
19401 S VERMONT AVE STE L100, TORRANCE, CA 90502-4459
(310) 324-5777
Mailing address
1762 W CATALPA AVE, ANAHEIM, CA 92801-4046
(714) 956-9852
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA12631
CA
Other
Enumeration date
04/24/2007
Last updated
07/08/2007
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