MICHAEL S BONGIOVANNI MD INC
Medical Practice at 4 Ave, San Diego, CA

License number
California G59386
Category
Medical Practice
Type
Orthopaedic Trauma
Owner
Name: MICHAEL S BONGIOVANNI M.D.
Title: PRESIDENT
Phone: (619) 299-3950
Address
Address
4060 4Th Ave SUITE 630, San Diego, CA 92103
National Provider ID: 1497991988
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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MICHAEL S. BONGIOVANNI, M.D., INC

San Diego, CA

Industry:
Medical Doctor's Office
Doing business as:
Michael S Bongiovanni MD
Registration:
Oct 10, 2007
Addresses:
4060 4 Ave STE 630, San Diego, CA 92103 (Physical)
4065 3 Ave, San Diego, CA 92103
550 W C St, San Diego, CA 92101
20 Buccaneer Way, San Diego, CA 92118
State ID:
C3050204
Business type:
Articles of Incorporation
Presidents:
Michael Scott Bongiovanni (President, Md Facs , Medical Doctor),Maria Inguanzo (Medical Assistant),Rowena Mansfield (Office Manager),...
Agent:
Michael S Bongiovanni,San Diego, CA 92103 (Physical)

Michael S Bongiovanni MD Inc

1952 San Diego Ave, San Diego, CA 92110

Industry:
Medical Doctor's Office
Insurance/billing Supervisors:
Michael S. Bongiovanni (Principal, Surgery-Orthopedic),Rowena Mansfield (Office Manager),Maria Inguanzo Medical Assistant, inactive,...

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