Healthcare Provider Details

I. General information

NPI: 1619397866
Provider Name (Legal Business Name): BRONWYN SZIGNAROWITZ D.V.M., M.P.V.M.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/25/2014
Last Update Date: 04/25/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2258 PONDEROSA RD
RESCUE CA
95672-9440
US

IV. Provider business mailing address

2258 PONDEROSA RD
RESCUE CA
95672-9440
US

V. Phone/Fax

Practice location:
  • Phone: 916-673-8890
  • Fax: 530-677-0595
Mailing address:
  • Phone: 916-673-8890
  • Fax: 530-677-0595

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code174M00000X
TaxonomyVeterinarian
License Number14492
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: