Individual
BONAVENTURE FOOSONG ENG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2230 LYNN ROAD, SUITE 104, THOUSAND OAKS, CA 91360
(805) 497-0961
(805) 496-4818
Mailing address
2230 LYNN ROAD, SUITE 104, THOUSAND OAKS, CA 91360
(805) 497-0961
(805) 496-4818
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
G22291
CA
Other
Enumeration date
07/02/2007
Last updated
10/31/2012
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