Individual
DR. BONNY MASTERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1555 SOQUEL DR, SANTA CRUZ, CA 95065-1705
(831) 462-7700
Mailing address
450 BROADWAY ST, REDWOOD CITY, CA 94063-3132
(650) 723-6661
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
A119159
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A119159
LICENSE
CA
Enumeration date
02/22/2012
Last updated
05/11/2020
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