Search › California › 106H00000X
Bonavy Som-Keo
NPI 1730628363 · on the registry since 2017 · sole proprietor
Practice
- Address
- 14112 S Kingsley Dr
Gardena, CA 90249 - Phone
- (310) 217-7312
- Organisation at this address
- Asian American Drug Abuse Program, Inc
Coastal Asian Pacific Mental Health CenterInferred from a shared address, not stated in the registry. - Clinicians at this address
- 54
Additional practice sites
- 18350 Mount Langley St, Fountain Valley, CA
Registry record
- Primary taxonomy
- 106H00000X
106H00000X
- Also registered as
- 101YM0800X
106H00000X - Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2024-07-24
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California