Som-Keo, Bonavy

Som-Keo, Bonavy is an sole proprietor health care provider with primary practice located at 14112 S Kingsley Dr , Gardena CA 90249-3018. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Marriage & Family Therapist. Behavioral Health & Social Service Providers / Marriage & Family Therapist is her primary health care specialty. Som-Keo, Bonavy can be contacted via phone (310) 217-7312.

Contact Information

Primary practice address
14112 S Kingsley Dr Gardena CA 90249-3018
Phone: (310) 217-7312
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X 145519 California

Profile Details

NPI number 1730628363
LBN Legal business name Som-Keo, Bonavy
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 15th, 2017
Last updated Jul 24th, 2024 - about 2 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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