Boni, Kiansi

Boni, Kiansi is an sole proprietor health care provider with primary practice located at 650 Hobson Way # 209 , Oxnard CA 93030-6706. He recently has 4 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Interventional Pain Medicine, Allopathic & Osteopathic Physicians / Pain Medicine. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Boni, Kiansi can be contacted via phone (805) 486-9100.

Contact Information

Primary practice address
650 Hobson Way # 209 Oxnard CA 93030-6706
Fax: (805) 486-7444
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X A45536 California
Allopathic & Osteopathic Physicians / Pediatrics 208000000X A45536 California
Allopathic & Osteopathic Physicians / Interventional Pain Medicine 208VP0014X A45536 California
Allopathic & Osteopathic Physicians / Pain Medicine 207LP2900X A45536 California

Profile Details

NPI number 1760514343
LBN Legal business name Boni, Kiansi
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 10th, 2007
Last updated Jul 9th, 2007 - about 19 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 1760514343 NPPES
California MEDICAID 00A455360

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