Individual provider · Type 1 NPI

Michael T. Bontekoe, MS, PA-C

Medical Physician Assistant · Beverly Hills, CA

NPI number 1124120902 Active

Practice location

450 N Roxbury Dr Ste 400
Beverly Hills, CA 90210-4218

Fax (424) 394-1628

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700XPA16231 (CA)
Dermatology Physician 207N00000XPA16231 (CA)

Medical Physician Assistant: Definition to come...

5 other providers at this address

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About NPI 1124120902

Michael T. Bontekoe, MS, PA-C's National Provider Identifier is 1124120902, issued on Sep 2, 2006. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Beverly Hills, CA. The record was last updated on Nov 2, 2020.