Individual
ANDRE BONNETT ALONSO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1450 TREAT BLVD, STE 120A, WALNUT CREEK, CA 94597-2168
(925) 296-9720
(925) 296-9032
Mailing address
1450 TREAT BLVD, STE 300, WALNUT CREEK, CA 94597-2168
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
A122882
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A122882
MEDICAL LICENSE
CA
Enumeration date
09/17/2012
Last updated
10/19/2016
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