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Last Update: Wednesday, December 18, 2024 6:43 PM CST
Next Update: Thursday, December 19, 2024 2:50 AM CST

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TAO, BONITA       
This verification service provides current data extracted by the Oklahoma State Board of Medical Licensure and Supervision (OSBMLS) from its own database. The data enclosed in the green box below is provided by and controlled entirely by the OSBMLS and therefore constitutes a primary source verification of licensure status as authentic as a direct inquiry to the OSBMLS. NPI# and hospital privileges (if any) are provided by the licensee and not verified.
Practice Address: BONITA TAO MD
11565 ALDERHILL TERRACE
SAN DIEGO CA 92131-3855

Address last updated on 10/28/2024
Phone #: (858) 863-7884
Fax #:
County: NOT OKLAHOMA
License: 44295
Dated: 10/18/2024
Expires: 10/1/2025
License Type: Medical Doctor
Specialty: Geriatric Medicine (Family Practice)
Status: Active
Status Class: Fully Licensed
Restricted to:
Registered to Dispense: NO
Medical School: Wayne State Univ SOM, Detroit Mi 48201
Graduated: 6 / 2004
CME Year: 2027
Pending and/or Past Disciplinary Actions: No Disciplinary Action Taken.
All information below is entered by the licensee but not verified by the Oklahoma Medical Board.
Certifications: AMERICAN BOARD OF FAMILY MEDICINE
New Patients: Contact licensee
Medicaid: Contact licensee
Medicare: Contact licensee
   
HMO/PPO: None listed
Hospital Privileges: None listed
Locations: Hours: Languages:
BONITA TAO MD
11565 ALDERHILL TERRACE
SAN DIEGO CA 92131-3855

Phone #: (858) 863-7884
Fax #:

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