| Anatoly Bondarev, DC | |
|
1019 N Fairfax Ave, 101, West Hollywood, CA 90046-6160 | |
| (323) 650-5530 | |
| (323) 650-5539 |
| Full Name | Anatoly Bondarev |
|---|---|
| Gender | Male |
| Speciality | Chiropractic |
| Experience | 33 Years |
| Location | 1019 N Fairfax Ave, West Hollywood, California |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740316348 | NPI | - | NPPES |
| DC21902 | Other | CA | STATE LICENSE NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | DC21902 (California) | Primary |
| Provider Name | Bondarev Chiropractic, Inc. |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1508146978 PECOS PAC ID: 8820260326 Enrollment ID: O20111005000374 |
| Mailing Address | Practice Location Address |
|---|---|
| Anatoly Bondarev, DC 1019 N Fairfax Ave, 101, West Hollywood, CA 90046-6160 Ph: (323) 650-5530 | Anatoly Bondarev, DC 1019 N Fairfax Ave, 101, West Hollywood, CA 90046-6160 Ph: (323) 650-5530 |
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