Search › California › 1223G0001X

Cheryl Bonam

NPI 1962576629 · on the registry since 2006 · sole proprietor

Practice

Address
11929 Venice Blvd Apt 209
Los Angeles, CA 90066
Phone
(310) 397-3802

Registry record

Primary taxonomy
1223G0001X
1223G0001X
Licence states on file
CA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2007-07-08

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