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Sam Bonge
Student in an Organized Health Care Education/Training Program in West Hollywood, California
NPI 1346869781

Sam Bonge is a Student in an Organized Health Care Education/Training Program based in Chicago, CA. Sam Bonge practices in West Hollywood, CA. The NPI Number for Sam Bonge is 1346869781 and holds a License No. (California).

The current practice location address for Sam Bonge is 8700 Beverly Blvd, West Hollywood, CA and can be reached out via phone at 310-423-3277.

Location: 8700 Beverly Blvd, West Hollywood, CA, 60642-3310
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1346869781
Provider Name
Sam Bonge
Credential
Provider Entity Type
Individual
Gender
Male
Address
8700 Beverly Blvd, West Hollywood, CA, 60642-3310
Phone Number
310-423-3277
Fax Number
Provider Enumeration Date
04/15/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
8700 Beverly Blvd
City
West Hollywood
State
California
Zip
90048-1804
Phone Number
310-423-3277
Fax Number
person
Provider Business Mailing Address Details
Address
8700 Beverly Blvd
City
West Hollywood
State
California
Zip
90048-1804
Phone Number
310-423-3277
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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