Michael Bonilla
NPI #1992478630 in Pacoima, California
Provider Information
- NPI Number
- 1992478630
- Entity Type
- Individual
- Name
- Michael Bonilla
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Case Manager/Care Coordinator
- Enumeration Date
- Jul 28, 2021
- Last Updated
- Dec 20, 2022
Practice Location
- Address
- 12450 VAN NUYS BLVD STE 200
- City
- Pacoima
- State
- California
- ZIP Code
- 91331-1393
- Phone
- (818) 896-1161
Specialties & Taxonomy Codes
| Specialty |
|---|
| Behavior Technician |
| Case Manager/Care Coordinator |
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