Bonilla, Tara

Bonilla, Tara is an individual health care provider with primary practice located at 34800 Bob Wilson Dr , San Diego CA 92134-1098. She recently has only one registered license in Other Service Providers / Independent Duty Corpsman, which is considered as her primary health care specialty. Bonilla, Tara can be contacted via phone (619) 532-6400.

Contact Information

Primary practice address
34800 Bob Wilson Dr San Diego CA 92134-1098
Phone: (619) 532-6400
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Independent Duty Corpsman 1710I1002X

Profile Details

NPI number 1659766822
LBN Legal business name Bonilla, Tara
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 3rd, 2015
Last updated Apr 3rd, 2015 - about 9 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.

Request for update

Popular Providers