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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

NPI Number 1003270539
LBN Legal business name BONA FIDE SURGICAL ASSISTANCE
Authorized official STEPHANIE BARON - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 04/11/2016
Last updated 10/07/2022 - About 4 years ago
Identifiers
CA License # PA 17201
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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