Provider Demographics
NPI:1912407347
Name:BOND MEDICAL CLINIC INC
Entity Type:Organization
Organization Name:BOND MEDICAL CLINIC INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ARA
Authorized Official - Middle Name:KARNIK
Authorized Official - Last Name:SOGHOMONIAN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:559-374-5543
Mailing Address - Street 1:3381 N BOND AVE
Mailing Address - Street 2:
Mailing Address - City:FRESNO
Mailing Address - State:CA
Mailing Address - Zip Code:93726-5726
Mailing Address - Country:US
Mailing Address - Phone:559-374-5543
Mailing Address - Fax:559-374-5546
Practice Address - Street 1:3381 N BOND AVE
Practice Address - Street 2:
Practice Address - City:FRESNO
Practice Address - State:CA
Practice Address - Zip Code:93726-5726
Practice Address - Country:US
Practice Address - Phone:559-374-5543
Practice Address - Fax:559-374-5546
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-02-12
Last Update Date:2018-02-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA50159207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty