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Search › California › Physician Assistant

Bonar Mangunsong

NPI 1437548880 · on the registry since 2015 · sole proprietor

Practice

Address
25340 Park Ave Apt 6
Loma Linda, CA 92354
Phone
(909) 252-6481

Registry record

Primary taxonomy
Physician Assistant
363A00000X
Licence states on file
CA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2015-01-22

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California