David C Bonovich Md

LBN: David C Bonovich Md
David C Bonovich Md is an health care organization with primary practice located at 20103 Lake Chabot Rd , Castro Valley CA 94546-5305. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Vascular Neurology, which is considered as the primary health care specialty. David C Bonovich Md can be contacted via phone (503) 579-5000, or through Wadsworth, Leane via phone (503) 579-5000.

Contact Information

Primary practice address
20103 Lake Chabot Rd Castro Valley CA 94546-5305
Phone: (503) 579-5000
Fax: (503) 579-5001
Website:
Map and Directions
Authorized official contact:
Name: Wadsworth, Leane
Phone: (503) 579-5000

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Vascular Neurology 2084V0102X G71726 California

Profile Details

NPI number 1508374489
LBN Legal business name David C Bonovich Md
DBA Doing business as
Authorized official Wadsworth, Leane
Entity Organization
Organization subpart 1 No
Enumeration date Jan 13th, 2018
Last updated Oct 8th, 2018 - about 7 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 1508374489 NPPES
California MEDICAID 7587738

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