Individual
DR. BONITA TAO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
10755 SCRIPPS POWAY PKWY # 363, SAN DIEGO, CA 92131-3924
(858) 863-7884
Mailing address
10755 SCRIPPS POWAY PKWY # 363, SAN DIEGO, CA 92131-3924
(858) 863-7884
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
A96323
CA
Other
Enumeration date
08/30/2007
Last updated
10/25/2024
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