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Dr. Michael S Bongiovanni, MD
Specialist in San Diego, California
NPI 1992772784

Michael S Bongiovanni is a Specialist based in San Diego, CA. Michael S Bongiovanni practices in San Diego, CA and has the professional credentials of MD. The NPI Number for Michael S Bongiovanni is 1992772784 and holds a License No. G59386 (California).

The current practice location address for Michael S Bongiovanni is 4060 4Th Ave, San Diego, CA and can be reached out via phone at 619-299-3950 and via fax at 619-299-3951.

Location: 4060 4Th Ave, San Diego, CA, 92103-2116
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1992772784
Provider Name
Michael S Bongiovanni
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
4060 4Th Ave, San Diego, CA, 92103-2116
Phone Number
619-299-3950
Fax Number
619-299-3951
Provider Enumeration Date
03/01/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
4858980001 01 CA CIGNA MEDICARE DMERC
00G593860 05 CA
200042516 01 CA RR MEDICARE
institution
Provider Business Practice Location Address Details
Address
4060 4Th Ave
City
San Diego
State
California
Zip
92103-2116
Phone Number
619-299-3950
Fax Number
619-299-3951
person
Provider Business Mailing Address Details
Address
4060 4Th Ave
City
San Diego
State
California
Zip
92103-2116
Phone Number
619-299-3950
Fax Number
619-299-3951
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
G59386 (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.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Orthopedic Surgery
Speciality
-
Taxonomy
207X00000X
License No.
G59386 (California)
Definition
An orthopedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.
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