Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
LISA BODZIO, PA-C
ActiveLISA BODZIO, PA-C is a Surgical Physician Assistant healthcare provider located in FONTANA, California. NPI 1356548069 is currently active in the NPPES registry. Verify at CMS.
Surgical Physician Assistant · FONTANA, CA
Registration Details
- NPI Number
- 1356548069
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jun 27, 2007 (19.163393847294 yrs)
- Last Updated
- Nov 29, 2021
- License
-
PA 18410 (CA)
Practice Information
- Address
-
9985 SIERRA AVEFONTANA, CA, 923356720Browse CA providers · Browse ZIP 92335
- Phone
- 9094275000
- Primary Specialty
-
Surgical Physician Assistant
363AS0400X
Other Surgical Physician Assistant Providers in FONTANA, CA
| Name | Credential | NPI |
|---|---|---|
| MS. CARLETTE SPENGLER KOLESNIK | P.A.-C. | 1760594733 |
| MR. JESSE INGRAM JR. | PA-C | 1851512560 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.