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:
Health care specialties
| Specialty | Code | License # | 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 8 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1376584540 | NPPES |
| California | MEDICAID | 00A707230 |
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