Bonilla, Kevin Jason
Bonilla, Kevin Jason is an sole proprietor health care provider with primary practice located at 1433 S Robertson Blvd , Los Angeles CA 90035-3414. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Community Health Worker, Other Service Providers / Case Manager/Care Coordinator. Other Service Providers / Case Manager/Care Coordinator is his primary health care specialty. Bonilla, Kevin Jason can be contacted via phone (310) 785-2121.Contact Information
Primary practice address
1433 S Robertson Blvd
Los Angeles CA 90035-3414
Phone: (310) 785-2121
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Community Health Worker | 172V00000X | ||
| Other Service Providers / Case Manager/Care Coordinator | 171M00000X |
Profile Details
| NPI number | 1770219958 |
|---|---|
| LBN Legal business name | Bonilla, Kevin Jason |
| Credentials | Bachelor of Arts (BA) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 28th, 2022 |
| Last updated | Jun 15th, 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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