Bonaventure F Eng Md Inc

LBN: Bonaventure F Eng Md Inc
Bonaventure F Eng Md Inc is an health care organization with primary practice located at 2230 Lynn Rd Suite 104, Thousand Oaks CA 91360-1901. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as the primary health care specialty. Bonaventure F Eng Md Inc can be contacted via phone (806) 497-0961, or through Eng, Bonaventure F via phone (805) 497-0961.

Contact Information

Primary practice address
2230 Lynn Rd Suite 104 Thousand Oaks CA 91360-1901
Phone: (806) 497-0961
Fax: (806) 496-4818
Website:
Map and Directions
Authorized official contact:
Name: Eng, Bonaventure F Doctor of Medicine (MD)
Phone: (805) 497-0961

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X G22291 California

Profile Details

NPI number 1073662060
LBN Legal business name Bonaventure F Eng Md Inc
DBA Doing business as
Authorized official Eng, Bonaventure F Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 Yes
Enumeration date Jan 9th, 2007
Last updated Oct 31st, 2012 - about 13 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1073662060 NPPES
California MEDICAID 00G222910

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