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Dr. Joseph A Bonanno, MD
Specialist in Encinitas, California
NPI 1558339176

Joseph A Bonanno is a Specialist based in Encinitas, CA. Joseph A Bonanno practices in Encinitas, CA and has the professional credentials of MD. The NPI Number for Joseph A Bonanno is 1558339176 and holds a License No. G15782 (California).

The current practice location address for Joseph A Bonanno is 320 Santa Fe Dr, Encinitas, CA and can be reached out via phone at 760-944-7300 and via fax at 760-633-3949.

Location: 320 Santa Fe Dr, Encinitas, CA, 92024-5138
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1558339176
Provider Name
Joseph A Bonanno
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
320 Santa Fe Dr, Encinitas, CA, 92024-5138
Phone Number
760-944-7300
Fax Number
760-633-3949
Provider Enumeration Date
03/09/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
00G157820 01 CA MEDI-CAL NUMBER
institution
Provider Business Practice Location Address Details
Address
320 Santa Fe Dr
City
Encinitas
State
California
Zip
92024-5138
Phone Number
760-944-7300
Fax Number
760-633-3949
person
Provider Business Mailing Address Details
Address
320 Santa Fe Dr
City
Encinitas
State
California
Zip
92024-5138
Phone Number
760-944-7300
Fax Number
760-633-3949
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
G15782 (California)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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