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Contact Information

BONA FIDE SURGICAL ASSISTANCE
274 W BADILLO ST
COVINA, CA91723
 Phone: 909-294-7329
 Fax: 909-912-8631
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Surgical

363AS0400X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for BONA FIDE SURGICAL ASSISTANCE · (Female)

NPI Number 1003270539
Status Active
Credentials
Entity Individual
Enumeration date 04/11/2016
Last updated 10/07/2022 - About 4 years ago
Sole proprietor 1 Not specified
Identifiers
  • CA License # PA 17201
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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