| Organization Name: | MONICA BONAKDAR, M.D., INC. |
| NPI Number: | 1558533794 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | MONICA BONAKDAR (OWNER/DOCTOR) |
| Mailing Address: | 2121 E Coast Hwy Suite 250 Corona Del Mar |
| State: | CA US |
| Postal Code: | 926251931 |
| Phone Number: | 9497216006 |
| Fax Number: | |
| NPI Enumeration Date: | 03/27/2008 |
| NPI Last Update Date: | 06/17/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QM1300X |
| License Number: | G076534 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Multi-Specialty |
| Taxonomy Definition: | |