Frederic Bongard, MD | |
21840 S Normandie Ave, Ste. 700, Torrance, CA 90502-2047 | |
(310) 222-5189 | |
(310) 782-6786 |
Full Name | Frederic Bongard |
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Gender | Male |
Speciality | Surgery - Vascular Surgery |
Location | 21840 S Normandie Ave, Torrance, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1902886393 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2086S0129X | Surgery - Vascular Surgery | G43307 (California) | Primary |
Entity Name | County Of Los Angeles |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1851363188 PECOS PAC ID: 1850296534 Enrollment ID: O20031204001218 |
Mailing Address | Practice Location Address |
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Frederic Bongard, MD 21840 Normandie Ave, Ste. 700, Torrance, CA 90502-2047 Ph: (310) 222-5189 | Frederic Bongard, MD 21840 S Normandie Ave, Ste. 700, Torrance, CA 90502-2047 Ph: (310) 222-5189 |
Timothy Morley, Surgery Medicare: Medicare Enrolled Practice Location: 23451 Madison St Ste 340, Torrance, CA 90505 Phone: 310-373-6864 Fax: 310-373-6065 | |
Sheryl Lynn Lewin, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 23430 Hawthorne Blvd, Suite 120, Torrance, CA 90505 Phone: 310-828-1414 Fax: 310-347-4255 | |
James D Wethe, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 3440 Lomita Blvd, Suite 220, Torrance, CA 90505 Phone: 310-784-8389 Fax: 310-784-8399 | |
Danielle Marie Hari, MD Surgery Medicare: Medicare Enrolled Practice Location: 1000 W Carson St, Box 25, Torrance, CA 90502 Phone: 310-222-1704 Fax: 310-782-1562 | |
Amir Kaviani, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 23451 Madison St, Suite #340, Torrance, CA 90505 Phone: 310-373-6864 Fax: 310-373-9547 | |
Dr. Armen Aboulian, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 1000 W Carson St, Torrance, CA 90502 Phone: 310-222-2700 Fax: 310-533-1841 | |
Noemi Capistrano, NP Surgery Medicare: Medicare Enrolled Practice Location: 1000 W Carson St, Box #445, Torrance, CA 90502 Phone: 310-222-1672 |