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CHERYL BONAM
NPI 1962576629
Dentist - General Practice in Los Angeles, CA

Active since November 17, 2006
11929 VENICE BLVD APT 209, LOS ANGELES, CA 90066(310) 397-3802 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Cheryl Bonam NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CHERYL BONAM (NPI 1962576629) is an individual general practice provider in Los Angeles, California, licensed in California (0E10717) and active in the NPI registry since November 2006.

NPPES Registry Identity

NPI1962576629
Entity TypeIndividualFemale
Primary Taxonomy1223G0001X
Provider Legal NameCHERYL BONAM
Location Address11929 VENICE BLVD APT 209Los Angeles, CA 90066-3931
Mailing Address11929 Venice Blvd Apt 209Los Angeles, CA 90066-3931 · (310) 397-3802
Phone(310) 397-3802
Sole ProprietorYes
Enumeration DateNovember 17, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1962576629 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in CA · 0E10717
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
11929 VENICE BLVD APT 209, Los Angeles, CA 90066
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Cheryl Bonam's NPI number?

The NPI number for Cheryl Bonam is 1962576629. It was assigned to this individual provider in the NPPES registry on November 17, 2006.

Where is Cheryl Bonam located?

Cheryl Bonam practices at 11929 Venice Blvd Apt 209, Los Angeles, CA 90066. The listed phone number is (310) 397-3802.

What is Cheryl Bonam's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for Cheryl Bonam was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.