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BONAR MANGUNSONG
Physician Assistant
NPI: 1437548880IndividualAccepts Medicare
Specialties, Licenses & Credentials
Physician AssistantPrimary
Physician Assistant
Code: 363A00000X
52249(CA)
CMS Specialties
PrimaryPHYSICIAN ASSISTANT
Education
OTHER
Class of 2015
Contact & Hours
- Address
- 25340 PARK AVE APT 6
LOMA LINDA, CA 92354 - Phone
- (909) 252-6481
Quick Facts
- NPI
- 1437548880
- Entity Type
- Individual
- Gender
- Male
- Medicare
- Accepted
- Specialties
- 1
- Locations
- 1
- Years in Practice
- 11
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