Lisa Bodzio is a Surgical in Fontana, California. Lisa Bodzio practices all healthcare services and medical treatments related to Surgical. The NPI Number for Lisa Bodzio is 1356548069. The last update date is 2021-11-29.
Lisa Bodzio's current location address is 9985 Sierra Ave, Fontana, California. You can contact this provider via phone number 9094275000. The mailing address for Lisa Bodzio is 9985 Sierra Ave, Fontana, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Lisa Bodzio |
|---|---|
| Address | 9985 Sierra Ave, Fontana, California |
| Phone Number | 9094275000 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | PA-C |
NPI Number Detail
| NPI Number | 1356548069 |
|---|---|
| Provider Enumeration Date | 2007-06-27 |
| Last Updated Date | 2021-11-29 |
Provider Mailing Address Detail
| Address | 9985 Sierra Ave |
|---|---|
| City | Fontana |
| State | California (CA) |
| Post Code | 923356720 |
| Phone Number | 9094275000 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Surgical |
|---|---|
| Taxonomy | 363As0400X |
| Licence No | PA 18410 |
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Definition: A licensed healthcare professional who assists in providing surgical care under physician supervision. |
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What is the unique identifier code issued to Lisa Bodzio by the Centers for Medicare & Medicaid Services?
The Lisa Bodzio has been assigned the NPI (National Provider Identifier) 1356548069. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical address where Lisa Bodzio is geographically located?
The Lisa Bodzio is physically situated at the following location: 9985 Sierra Ave, Fontana, CA, 923356720.
What is Lisa Bodzio's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Lisa Bodzio is Surgical, and the corresponding taxonomy classification code for this specialized field is 363As0400X.
On what date did Lisa Bodzio receive its 1356548069 assignment from the Centers for Medicare & Medicaid Services?
The Lisa Bodzio was assigned its 1356548069 on 2007-06-27, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details pertaining to Lisa Bodzio last refreshed?
The information related to the Lisa Bodzio, including its address, specialty, and other relevant details, was last updated on 2021-11-29.