Individual
BONNIE SUCH OCHOA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C, CDE
Contact information
Practice address
4004 BEYER BLVD, SAN YSIDRO, CA 92173-2007
(619) 662-4100
Mailing address
4004 BEYER BLVD, SAN YSIDRO, CA 92173-2007
(619) 662-4100
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA13096
CA
Other
Enumeration date
10/03/2006
Last updated
04/24/2014
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