Renderos, Bonnie A.

Renderos, Bonnie A. is an individual health care provider with primary practice located at 1200 El Camino Real , South San Francisco CA 94080-3208. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Renderos, Bonnie A. can be contacted via phone (650) 742-2000.

Contact Information

Primary practice address
1200 El Camino Real South San Francisco CA 94080-3208
Phone: (650) 742-2000
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X A73326 California

Profile Details

NPI number 1275611832
LBN Legal business name Renderos, Bonnie A.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 1st, 2006
Last updated Dec 27th, 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 1275611832 NPPES
California MEDICAID 00A733260

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