Bonilla, Robert
Bonilla, Robert is an sole proprietor health care provider with primary practice located at 418 E. Arbor Vitae St. , Inglewood CA 90301-3450. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Bonilla, Robert can be contacted via phone (310) 673-8600.Contact Information
Primary practice address
418 E. Arbor Vitae St.
Inglewood CA 90301-3450
Phone: (310) 673-8600
Fax: (310) 673-9949
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | A36897 | California |
Profile Details
| NPI number | 1154441509 |
|---|---|
| LBN Legal business name | Bonilla, Robert |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 30th, 2007 |
| Last updated | Jul 9th, 2007 - about 17 years ago |
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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1154441509 | NPPES |
| California | MEDICAID | 00A368970 |
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