Provider Demographics
NPI:1558456046
Name:BONDELL, JAMES ALAN (PHD)
Entity type:Individual
Prefix:DR
First Name:JAMES
Middle Name:ALAN
Last Name:BONDELL
Suffix:
Gender:M
Credentials:PHD
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Mailing Address - Street 1:1673 E VALLEY PKWY
Mailing Address - Street 2:PMB#226
Mailing Address - City:ESCONDIDO
Mailing Address - State:CA
Mailing Address - Zip Code:92027
Mailing Address - Country:US
Mailing Address - Phone:760-729-4931
Mailing Address - Fax:760-536-9136
Practice Address - Street 1:2477 CONGRESS ST
Practice Address - Street 2:
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92110-2820
Practice Address - Country:US
Practice Address - Phone:760-729-4931
Practice Address - Fax:760-536-9136
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-03
Last Update Date:2024-05-07
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAPSY 4842103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical