Bock, Bonnie Virginia

Bock, Bonnie Virginia is an individual health care provider with primary practice located at 1501 Superior Ave Suite 300, Newport Beach CA 92663. She recently has only one registered license in Allopathic & Osteopathic Physicians / Infectious Disease, which is considered as her primary health care specialty. Bock, Bonnie Virginia can be contacted via phone (949) 645-9010.

Contact Information

Primary practice address
1501 Superior Ave Suite 300 Newport Beach CA 92663
Phone: (949) 645-9010
Fax: (949) 645-1003
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Infectious Disease 207RI0200X G35572 California

Profile Details

NPI number 1225226558
LBN Legal business name Bock, Bonnie Virginia
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 11th, 2007
Last updated Jan 3rd, 2011 - about 15 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 1225226558 NPPES
California MEDICAID 00G355720

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