Individual
ANATOLY BONDAREV
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
1019 N FAIRFAX AVE, 101, WEST HOLLYWOOD, CA 90046-6160
(323) 650-5530
(323) 650-5539
Mailing address
1019 N FAIRFAX AVE, 101, WEST HOLLYWOOD, CA 90046-6160
(323) 650-5530
(323) 650-5539
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
DC21902
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DC21902
STATE LICENSE NUMBER
CA
Enumeration date
02/26/2007
Last updated
09/21/2016
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