Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Michael James Bundy, DMD, MD, PHARM

Individual provider Dentist · NPI 1710259908

Dr. Michael James Bundy, DMD, MD, PHARM is an Otolaryngology in Los Angeles, California. Graduated from University of California, Geffen School of Medicine in 2011, 15 years ago. Practices with Southern California Permanente Medical Group, an 11,242-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
15
Trained at
University of California, Geffen School of Medicine
Licensed in
CA
In the registry since
2012
What do these letters mean?
DMD — Doctor of Dental Medicine
A dentist. Identical training and licensing to a DDS.
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

10833 Le Conte Ave
Los Angeles, CA 90095-3075
Phone: (310) 825-3241
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence 58849 (CA)

Record details

NPI number1710259908
Entity typeIndividual (Type 1)
GenderMale
Credentials DMD , MD , PHARM
Sole proprietorYes
NPI enumeratedFebruary 2, 2012
Last updated in NPPESDecember 1, 2021
Certification dateDecember 1, 2021

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyOTOLARYNGOLOGY
Also practisesMAXILLOFACIAL SURGERY, PODIATRY
Medical schoolUNIVERSITY OF CALIFORNIA, GEFFEN SCHOOL OF MEDICINE
Graduated 2011 (15 years in practice)
Group practice Southern California Permanente Medical Group — 11242 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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