Anatoly Bondarev, DC | |
1019 N Fairfax Ave, 101, West Hollywood, CA 90046-6160 | |
(323) 650-5530 | |
(323) 650-5539 |
Full Name | Anatoly Bondarev |
---|---|
Gender | Male |
Speciality | Chiropractic |
Experience | 32 Years |
Location | 1019 N Fairfax Ave, West Hollywood, California |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1740316348 | NPI | - | NPPES |
DC21902 | Other | CA | STATE LICENSE NUMBER |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
111N00000X | Chiropractor | DC21902 (California) | Primary |
Provider Name | Bondarev Chiropractic, Inc. |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1508146978 PECOS PAC ID: 8820260326 Enrollment ID: O20111005000374 |
Mailing Address | Practice Location Address |
---|---|
Anatoly Bondarev, DC 1019 N Fairfax Ave, 101, West Hollywood, CA 90046-6160 Ph: (323) 650-5530 | Anatoly Bondarev, DC 1019 N Fairfax Ave, 101, West Hollywood, CA 90046-6160 Ph: (323) 650-5530 |
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