| Bonaventure F Eng Md Inc | |
|
2230 Lynn Rd Suite 104 Thousand Oaks CA 91360-1901 | |
| (806) 497-0961 | |
| (806) 496-4818 |
| Full Name | Bonaventure F Eng Md Inc |
|---|---|
| Speciality | Internal Medicine - Gastroenterology |
| Location | 2230 Lynn Rd, Thousand Oaks, California |
| Authorized Official Name and Position | Bonaventure F Eng (OWNER) |
| Authorized Official Contact | 8054970961 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bonaventure F Eng Md Inc 2230 Lynn Road Suite 104 Thousand Oaks CA 91360 Ph: (806) 497-0961 | Bonaventure F Eng Md Inc 2230 Lynn Rd Suite 104 Thousand Oaks CA 91360-1901 Ph: (806) 497-0961 |
| NPI Number | 1073662060 |
|---|---|
| Provider Enumeration Date | 01/09/2007 |
| Last Update Date | 10/31/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073662060 | NPI | - | NPPES |
| 00G222910 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | G22291 (California) | Primary |
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