Provider Demographics
NPI:1427947282
Name:BONCK, SONNET L (RD)
Entity type:Individual
Prefix:
First Name:SONNET
Middle Name:L
Last Name:BONCK
Suffix:
Gender:F
Credentials:RD
Other - Prefix:
Other - First Name:SONNET
Other - Middle Name:
Other - Last Name:CHAKMAKIAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RD
Mailing Address - Street 1:425 CALIFORNIA ST STE 1400
Mailing Address - Street 2:
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94104-2116
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:3640 E FAIRMOUNT AVE
Practice Address - Street 2:
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85018-5123
Practice Address - Country:US
Practice Address - Phone:307-760-7630
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-06-28
Last Update Date:2025-06-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered