Individual provider · Type 1 NPI
Frederic Bongard, MD
Vascular Surgery Physician · Torrance, CA
NPI number
1902886393
Active
Practice location
21840 S Normandie Ave, Ste. 700
Torrance, CA 90502-2047
Fax (310) 782-6786
Mailing address
21840 Normandie Ave, Ste. 700
Torrance, CA 90502-2047
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Vascular Surgery Physician Primary | 2086S0129X | G43307 (CA) |
Vascular Surgery Physician: A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.
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About NPI 1902886393
Frederic Bongard, MD's National Provider Identifier is 1902886393, issued on Jan 20, 2006. The primary taxonomy on file is Vascular Surgery Physician (2086S0129X), and the practice location is in Torrance, CA. The record was last updated on Jun 22, 2012.