Healthcare Provider Details

I. General information

NPI: 1891424388
Provider Name (Legal Business Name): NATALIE BONTHIUS MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/09/2022
Last Update Date: 07/08/2026
Certification Date: 07/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

UHS SOCAL MEC 31700 TEMECULA PARKWAY PARKWAY SUITES # 1- GME
TEMECULA CA
92592
US

IV. Provider business mailing address

UHS SOCAL MEC 31700 TEMECULA PARKWAY PARKWAY SUITES # 1- GME
TEMECULA CA
92592
US

V. Phone/Fax

Practice location:
  • Phone: 951-331-2535
  • Fax:
Mailing address:
  • Phone: 951-331-2535
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number StateNULL
# 2
Primary TaxonomyY
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License NumberMD70112068
License Number StateWA
# 3
Primary TaxonomyN
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License Number34502
License Number StateNH
# 4
Primary TaxonomyN
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License Number190796
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: