Bonilla, Jazmin

Bonilla, Jazmin is an individual health care provider with primary practice located at 9808 Venice Blvd Ste 505 , Culver City CA 90232-6818. She recently has 4 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Behavioral Analyst, Other Service Providers / Case Manager/Care Coordinator, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Rehabilitation Practitioner, Other Service Providers / Community Health Worker. Other Service Providers / Community Health Worker is her primary health care specialty. Bonilla, Jazmin can be contacted via phone (310) 945-3350.

Contact Information

Primary practice address
9808 Venice Blvd Ste 505 Culver City CA 90232-6818
Phone: (310) 945-3350
Fax: (310) 945-3356
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X
Other Service Providers / Case Manager/Care Coordinator 171M00000X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Rehabilitation Practitioner 225400000X
Other Service Providers / Community Health Worker 172V00000X

Profile Details

NPI number 1639676265
LBN Legal business name Bonilla, Jazmin
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 10th, 2018
Last updated Sep 8th, 2023 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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