Provider Demographics
NPI:1659514297
Name:PIROZZI-BOND, MARY ANN (DC)
Entity Type:Individual
Prefix:DR
First Name:MARY ANN
Middle Name:
Last Name:PIROZZI-BOND
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 6881
Mailing Address - Street 2:
Mailing Address - City:SAN PEDRO
Mailing Address - State:CA
Mailing Address - Zip Code:90734-6881
Mailing Address - Country:US
Mailing Address - Phone:310-935-9830
Mailing Address - Fax:310-514-3723
Practice Address - Street 1:1851 N GAFFEY ST STE H
Practice Address - Street 2:
Practice Address - City:SAN PEDRO
Practice Address - State:CA
Practice Address - Zip Code:90731-1258
Practice Address - Country:US
Practice Address - Phone:310-514-6815
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-04-13
Last Update Date:2022-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CADC25262111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
CADC0252620OtherBLUE SHIELD OF CALIFORNIA
CA1659514297OtherANTHEM BLUE CROSS