Individual
BONNIE JAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4050 BARRANCA PKWY., STE. 200, IRVINE, CA 92604
(949) 551-1090
(949) 262-5500
Mailing address
4050 BARRANCA PKWY., STE. 200, IRVINE, CA 92604
(949) 551-1090
(949) 262-5500
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
A176345
CA
Other
Enumeration date
03/20/2019
Last updated
08/22/2022
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