FREDERIC BONGARD (NPI# 1902886393) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1902886393 |
Entity Type | Individual |
Full Name | FREDERIC BONGARD |
Credential | MD |
Practice Address |
21840 S Normandie Ave Ste. 700 Torrance CA 90502-2047 |
Mailing Address |
21840 Normandie Ave Ste. 700 Torrance CA 90502-2047 |
Practice Telephone | 3102225189 |
Practice Fax Number | 3107826786 |
Mailing Telephone | 3102225189 |
Mailing Fax Number | 3107826786 |
Enumeration Date | 2006-01-20 |
Last Update Date | 2012-06-22 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2086S0129X |
Surgery Specialization: Vascular Surgery |
G43307 | CA | Allopathic & Osteopathic Physicians |
Street Address |
21840 S NORMANDIE AVE STE. 700 |
City | TORRANCE |
State | CA |
Zip Code | 90502-2047 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1992319149 | Gia Chodzen | Student in an Organized Health Care Education/Training Program | Harbor-ucla Dmh, 1000 W Carson St, #488, Torrance, CA 90502 | 2020-09-04 |
1750994919 | Desiree Elise Cervantes | Social Worker | Harbor Ucla Medical Center, 1000 West Carson Street, Torrance, CA 90502 | 2020-08-27 |
1205448644 | Tabitha Tamara Black | Student in an Organized Health Care Education/Training Program | Harbor Ucla Dmh 1000 W Carson Street, Number 488, Torrance, CA 90502 | 2020-08-18 |
1538718531 | Harbor-ucla Dmh | Student in an Organized Health Care Education/Training Program | Harbor-ucla Dmh, 1000 W Carson St Box #498, Torrance, CA 90502 | 2019-09-11 |
1891345831 | Sydney Del Carmen Wheat | Student in an Organized Health Care Education/Training Program | 1000 W Carson St Box #488, Torrance, CA 90502 | 2019-09-11 |
1467971283 | Grace Y Kim | Student in an Organized Health Care Education/Training Program | Lacdmh Hucla 1000 W. Carson Street, Torrance, CA 90502 | 2017-09-13 |
1619498631 | Shauntel Locus | Case Manager/Care Coordinator | 1124 W. Carson Street, Torrance, CA 90502 | 2017-06-29 |
1740700079 | Charlise Brown-scranton | Registered Nurse | 711 W. Del Amo Blvd, Torrance, CA 90502 | 2017-06-27 |
1497280978 | C Edward Villasenor Castelo | Specialist | 1000 W Carson St # D5, Torrance, CA 90502 | 2017-04-21 |
1114464393 | Brissa Giron | Counselor | 19401 Vermont Ave, Suite C100, Torrance, CA 90502 | 2017-01-25 |
Find all providers in zip 90502 |
Taxonomy Code | 2086S0129X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Surgery |
Specialization | Vascular Surgery |
A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1811937436 | Harry Kram | Surgery | 3445 Pacific Coast Hwy #230, Torrance, CA 90505-6660 | 2006-06-08 |
1922473776 | Torrance Vascular Center A Medical Group Inc | Surgery | 23560 Madison St, Suite 110, Torrance, CA 90505-4708 | 2015-12-04 |
1285891283 | Houman Saedi | Surgery | 23451 Madison St, Suite 340, Torrance, CA 90505-4763 | 2008-05-19 |
1750579587 | Arun K Mittal | Surgery | 21350 Hawthorne Blvd, Suite 270, Torrance, CA 90503-5605 | 2007-10-05 |
1922205459 | Timothy James Ryan | Surgery | 1000 W Carson St, Torrance, CA 90502-2004 | 2007-06-28 |
1467465930 | Riad Adoumie | Surgery | 23451 Madison St, Suite 340, Torrance, CA 90505-4763 | 2006-08-14 |
1558318022 | Roman Andrew Litwinski | Surgery | 23451 Madison St, Suite 340, Torrance, CA 90505-4763 | 2006-05-28 |
1972550473 | John Patrick Mcnamara | Surgery | 23451 Madison St, Suite #340, Torrance, CA 90505-4763 | 2006-05-28 |
1144276262 | Amir Kaviani | Surgery | 23451 Madison St, Suite #340, Torrance, CA 90505-4763 | 2006-05-26 |
1902869662 | Stanley R. Klein | Surgery | 21840 Normandie Ave, Ste. 700, Torrance, CA 90502-2047 | 2006-04-11 |
Find all providers in TORRANCE |
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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.