MONICA M BONAKDAR, M.D., INC. (NPI# 1558533794) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558533794 |
| Entity Type | Organization |
| Organization Name | MONICA M BONAKDAR, M.D., INC. |
| Practice Address |
2121 E Coast Hwy Suite 250 Corona Del Mar CA 92625-1931 |
| Practice Telephone | 9497216006 |
| Mailing Telephone | 9497216006 |
| Enumeration Date | 2008-03-27 |
| Last Update Date | 2019-09-30 |
| Authorized Official Name | DR. MONICA BONAKDAR (OWNER/DOCTOR) |
| Authorized Official Telephone | 9497216000 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM1300X |
Clinic/Center Specialization: Multi-Specialty |
G076534 | CA | Ambulatory Health Care Facilities |
| Street Address |
2121 E COAST HWY SUITE 250 |
| City | CORONA DEL MAR |
| State | CA |
| Zip Code | 92625-1931 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508852013 | Daniel J Wall | Dermatology | 2121 E Coast Hwy, Ste 250, Corona Del Mar, CA 92625-1932 | 2005-09-21 |
| 1679971535 | Lee Md, Inc | Dermatology | 2121 E Coast Hwy, Ste 110, Corona Del Mar, CA 92625-1931 | 2014-12-09 |
| 1518373273 | Barbara Mallonee, Dds, Inc | Durable Medical Equipment & Medical Supplies | 2121 E Coast Hwy, Suite 140, Corona Del Mar, CA 92625-1931 | 2014-07-02 |
| 1558654046 | Plastic Surgery Body Contouring | Specialist | 2121 E Coast Hwy, Suite 260, Corona Del Mar, CA 92625-1931 | 2011-05-17 |
| 1366629669 | Mark Pollack | Chiropractor | 2121 E Coast Hwy, #260, Corona Del Mar, CA 92625-1931 | 2008-01-29 |
| 1831375013 | Pollack Chiropractic Corporation | Chiropractor | 2121 E Coast Hwy, #260, Corona Del Mar, CA 92625-1931 | 2008-01-17 |
| 1023238953 | Siems Advanced Lasik and Eye Centers | Optometrist | 2121 E Coast Hwy, Ste 200, Corona Del Mar, CA 92625-1931 | 2007-04-25 |
| 1871658898 | Robert W Kessler | Plastic Surgery | 2121 E Coast Hwy, Suite 230, Corona Del Mar, CA 92625 | 2006-12-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083192041 | Lisa Menaker Quinn | Marriage & Family Therapist | 2345 E. Coast Highway, Suite D, Corona Del Mar, CA 92625 | 2018-08-01 |
| 1205210945 | Kelly Mccann | Marriage & Family Therapist | 2721 East Pacific Coast Highway, Suite 209, Corona Del Mar, CA 92625 | 2015-07-13 |
| 1831501113 | Bert Shepley | Marriage & Family Therapist | 1111 Bayside Drive, Suite 212, Corona Del Mar, CA 92625 | 2014-05-21 |
| 1295157741 | Jamie Young | Marriage & Family Therapist | 505 Larkpur Ave, Corona Del Mar, CA 92625 | 2014-01-16 |
| 1225321185 | Miramar Health Inc | Substance Abuse Rehabilitation Facility | 435 Dahlia Avenue, Newport Beach, CA 92625 | 2011-05-25 |
| 1972745362 | Andrew W Spath | Dentist | 2121 E Coast Hwy Ste 290, Corona Del Mar, CA 92625 | 2009-03-31 |
| 1790934743 | James Hair | Dentist | 3800 E. Pacific Coast Hwy., #2, Corona Del Mar, CA 92625 | 2008-09-15 |
| 1912173006 | Kevin J Taylor Dds Inc | Dentist | 2716 East Coast Hwy, Corona Del Mar, CA 92625 | 2008-05-08 |
| 1306048939 | Stephen Douglas Hutchins | Chiropractor | 2101 E Coast Hwy, Corona Del Mar, CA 92625 | 2007-06-05 |
| 1619094893 | Burr Vonmaur | Plastic Surgery | 1101 Bayside Drive, Suite 100, Corona Del Mar, CA 92625 | 2007-03-23 |
| Find all providers in zip 92625 | ||||
| Taxonomy Code | 261QM1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Multi-Specialty |
| Definition to come... |
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| 1134738032 | Healthworks Med Group of California A Medical Corporation | Clinic/Center | 2821 Scott Blvd Ste 2126, Santa Clara, CA 95050-2549 | 2020-07-27 |
| 1437767951 | Miro Health | Clinic/Center | 260 King St Unit 1505, San Francisco, CA 94107-6415 | 2020-07-21 |
| 1598383895 | Alacrity Patient Services, Inc. | Clinic/Center | 1002 N Hudson Ave Apt 1, Los Angeles, CA 90038-2595 | 2020-07-13 |
| 1306464979 | Aleracare Medical Group of California | Clinic/Center | 4849 Van Nuys Blvd Ste 220, Sherman Oaks, CA 91403-2155 | 2020-07-10 |
| Find all providers with the same taxonomy | ||||
| City | CORONA DEL MAR |
| Zip Code | 92625 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.