Individual
FREDERIC BONGARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
21840 S NORMANDIE AVE, STE. 700, TORRANCE, CA 90502-2047
(310) 222-5189
(310) 782-6786
Mailing address
21840 NORMANDIE AVE, STE. 700, TORRANCE, CA 90502-2047
(310) 222-5189
(310) 782-6786
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
G43307
CA
Other
Enumeration date
01/20/2006
Last updated
06/22/2012
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