Search › California › 163WM0705X
Fredrick Bogonko
NPI 1841866183 · on the registry since 2021 · sole proprietor
Practice
- Address
- 1601 Vineyard Rd Apt 1623
Roseville, CA 95747 - Phone
- (626) 272-6174
- Clinicians at this address
- 5
Registry record
- Primary taxonomy
- 163WM0705X
163WM0705X
- Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2021-05-27
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