Bonfanti, David Alan

Bonfanti, David Alan is an sole proprietor health care provider with primary practice located at 5012 Chesebro Rd Ste 200 , Agoura Hills CA 91301. He recently has only one registered license in Behavioral Health & Social Service Providers / Marriage & Family Therapist, which is considered as his primary health care specialty. Bonfanti, David Alan can be contacted via phone (818) 274-7677.

Contact Information

Primary practice address
5012 Chesebro Rd Ste 200 Agoura Hills CA 91301
Phone: (818) 274-7677
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X 43891 California

Profile Details

NPI number 1245369651
LBN Legal business name Bonfanti, David Alan
Credentials LMFT # 43891
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 2nd, 2007
Last updated Apr 14th, 2021 - about 5 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 1245369651 NPPES
California MEDICAID 00007300

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