BONA FIDE SURGICAL ASSISTANCE
Organization (NPI-2)
Active
Physician Assistant, Surgical
Provider Information
- NPI Number
1003270539- Provider Type
- Organization / Facility (NPI-2)
- Status
- Active
Contact & Location
- Address
- 274 W BADILLO ST, COVINA, CA, 91723
- Phone
- (909) 294-7329
- Fax
- (909) 912-8631
Specialties & Taxonomies
Physician Assistant, Surgical
Primary License: CA #PA 17201