Bongiovanni, Michael S

Bongiovanni, Michael S is an sole proprietor health care provider with primary practice located at 4060 4Th Ave Suite 630, San Diego CA 92103-2116. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Orthopaedic Surgery, Other Service Providers / Specialist. Allopathic & Osteopathic Physicians / Orthopaedic Surgery is his primary health care specialty. Bongiovanni, Michael S can be contacted via phone (619) 299-3950.

Contact Information

Primary practice address
4060 4Th Ave Suite 630 San Diego CA 92103-2116
Phone: (619) 299-3950
Fax: (619) 299-3951
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X G59386 California
Other Service Providers / Specialist 174400000X G59386 California

Profile Details

NPI number 1992772784
LBN Legal business name Bongiovanni, Michael S
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 1st, 2006
Last updated Jan 14th, 2014 - about 12 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 1992772784 NPPES
California Other 4858980001 CIGNA MEDICARE DMERC
California MEDICAID 00G593860 CIGNA MEDICARE DMERC
California Other 200042516 CIGNA MEDICARE DMERC

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