Doctor Name: | BONNIE LYNN GARON |
NPI Number: | 1023299831 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.D. |
License Number: | A86046 |
Business Practice Address: | 1500 San Pablo St Los Angeles, CA - 900335313 |
Business Phone Number: | 3234428541 |
Business Fax Number: | 3234428755 |
Mailing Address: | Po Box 31309, LOS ANGELES |
State: | CA |
Postal Code: | 900310309 |
Phone Number: | 3234428541 |
Fax Number: | 3234428755 |
NPI Enumeration Date: | 11/20/2007 |
NPI Last Update Date: | 03/08/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2085B0100X |
License Number: | A86046 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Radiology |
Taxonomy Specialization: | Body Imaging |
Taxonomy Definition: | A Radiology doctor of Osteopathy that specializes in Body Imaging. |