Individual provider · Type 1 NPI

Mildrede N. Bonglack, MD

Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician · Fresno, CA

NPI number 1134612013 Active

Practice location

2210 E Illinois Ave Ste 408
Fresno, CA 93701-2184

Call (559) 443-2694 Map

Fax (559) 443-2696

Mailing address

2625 E Divisadero St
Fresno, CA 93721-1431

Other practice locations

  • 797 W Childs Ave, Merced, CA 95341-6805 · (209) 384-6498

Specialties and licenses

TaxonomyCodeLicense
Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician Primary 207VF0040XA204492 (CA)
Obstetrics & Gynecology Physician 207V00000XA204492 (CA)

Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician: A subspecialist in Urogynecology and Reconstructive Pelvic Surgery is a physician in Urology or Obstetrics and Gynecology who, by virtue of education and training, is prepared to provide consultation and comprehensive management of women with complex benign pelvic conditions, lower urinary tract disorders, and pelvic floor dysfunction. Comprehensive management includes those diagnostic and therapeutic procedures nec…

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About NPI 1134612013

Mildrede N. Bonglack, MD's National Provider Identifier is 1134612013, issued on Jun 14, 2018. The primary taxonomy on file is Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician (207VF0040X), and the practice location is in Fresno, CA. The record was last updated on Oct 1, 2026.