Individual
DAVID ALFONSO BOLIVAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
598 N F ST, SAN BERNARDINO, CA 92410-3110
(909) 888-8152
(909) 884-7530
Mailing address
598 N F ST, SAN BERNARDINO, CA 92410-3110
(951) 351-1600
(951) 351-9402
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
A33373
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A333730
—
CA
05
—
00A333732
—
CA
Enumeration date
06/15/2006
Last updated
04/21/2025
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