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Contact Information

MICHAEL S BONGIOVANNI MD INC
4060 4TH AVE
SUITE 630
SAN DIEGO, CA92103-2116
 Phone: 619-299-3950
 Fax: 619-299-3951
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Orthopaedic Trauma

207XX0801X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for MICHAEL S BONGIOVANNI MD INC

NPI Number 1497991988
LBN Legal business name MICHAEL S BONGIOVANNI MD INC
Authorized official MICHAEL BONGIOVANNI - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 01/05/2009
Last updated 04/16/2013 - About 13 years ago
Identifiers
CA License # G59386
CA Medicaid 00G593860
CA Other 200042516 RR MEDICARE
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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