Provider Demographics
NPI:1083496723
Name:BOND, MEGAN D
Entity Type:Individual
Prefix:
First Name:MEGAN
Middle Name:D
Last Name:BOND
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5429 1/2 SIERRA VISTA AVE
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90038-4201
Mailing Address - Country:US
Mailing Address - Phone:980-200-0726
Mailing Address - Fax:
Practice Address - Street 1:5429 1/2 SIERRA VISTA AVE
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90038-4201
Practice Address - Country:US
Practice Address - Phone:980-200-0726
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-10-17
Last Update Date:2023-10-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula