Heather K Bonnville in Brea - Physician Assistant
Heather K Bonnville - NPI 1770762429
Heather K Bonnville is a Physician Assistant in Brea, California. Heather K Bonnville practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Heather K Bonnville is 1770762429. The last update date is 2015-10-18.
Heather K Bonnville's current location address is 2864 E Imperial Hwy, Brea, California. You can contact this provider via phone number 7149969708 and fax number 7149961230. The mailing address for Heather K Bonnville is 2864 E Imperial Hwy, Brea, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Heather K Bonnville |
|---|---|
| Address | 2864 E Imperial Hwy, Brea, California |
| Phone Number | 7149969708 |
| Fax Number | 7149961230 |
| Sole Proprietor | N |
| Credentials | PHYSICIAN |
NPI Number Detail
| NPI Number | 1770762429 |
|---|---|
| Provider Enumeration Date | 2007-10-30 |
| Last Updated Date | 2015-10-18 |
Provider Mailing Address Detail
| Address | 2864 E Imperial Hwy |
|---|---|
| City | Brea |
| State | California (CA) |
| Post Code | 928216714 |
| Phone Number | 7149969708 |
| Fax Number | 7149961230 |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | PA19271 |
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Definition: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1770762429 | CA | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Heather K Bonnville by the Centers for Medicare & Medicaid Services?
The Heather K Bonnville has been issued the NPI (National Provider Identifier) 1770762429, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Heather K Bonnville's physical address?
The Heather K Bonnville is physically located at 2864 E Imperial Hwy, in the city of Brea, CA, with the postal code 928216714.
What is Heather K Bonnville's area of expertise and its corresponding taxonomy classification?
The Heather K Bonnville's field of specialization is Physician Assistant, and it falls under the taxonomy code 363A00000X, which categorizes healthcare providers based on their areas of practice.
On what date did the Heather K Bonnville receive the assignment of its 1770762429 from the Centers for Medicare & Medicaid Services?
The Heather K Bonnville was issued its 1770762429 by the Centers for Medicare & Medicaid Services on 2007-10-30.
As of what date were the details related to Heather K Bonnville most recently updated or revised?
The information pertaining to Heather K Bonnville, including its address, specialty, and other relevant details, was last updated or revised on 2015-10-18.