Provider Demographics
NPI:1245646439
Name:BONDAD, CESAR (RN)
Entity type:Individual
Prefix:MR
First Name:CESAR
Middle Name:
Last Name:BONDAD
Suffix:
Gender:M
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:200 WEST SANTA ANA BLVD.
Mailing Address - Street 2:CALIFORNIA CHILDREN'S SERVICES
Mailing Address - City:SANTA ANA
Mailing Address - State:CA
Mailing Address - Zip Code:92701
Mailing Address - Country:US
Mailing Address - Phone:714-347-0341
Mailing Address - Fax:714-347-0301
Practice Address - Street 1:200 WEST SANTA ANA BLVD.
Practice Address - Street 2:CALIFORNIA CHILDREN'S SERVICES
Practice Address - City:SANTA ANA
Practice Address - State:CA
Practice Address - Zip Code:92701
Practice Address - Country:US
Practice Address - Phone:714-347-0341
Practice Address - Fax:714-347-0301
Is Sole Proprietor?:No
Enumeration Date:2014-07-08
Last Update Date:2014-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA548073163WC0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WC0400XNursing Service ProvidersRegistered NurseCase Management