Bonakdar, Robert A.

Bonakdar, Robert A. is an individual health care provider with primary practice located at 10820 N Torrey Pines Rd , La Jolla CA 92037. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Pain Medicine. Allopathic & Osteopathic Physicians / Pain Medicine is his primary health care specialty. Bonakdar, Robert A. can be contacted via phone (858) 554-3300.

Contact Information

Primary practice address
10820 N Torrey Pines Rd La Jolla CA 92037
Phone: (858) 554-3300
Fax: (858) 784-5933
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X A70723 California
Allopathic & Osteopathic Physicians / Pain Medicine 208VP0000X A70723 California

Profile Details

NPI number 1376584540
LBN Legal business name Bonakdar, Robert A.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 9th, 2006
Last updated Jul 31st, 2018 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1376584540 NPPES
California MEDICAID 00A707230

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