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:
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Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1154441509 NPPES
California MEDICAID 00A368970

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