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Mr. Robert Bonilla, MD
Specialist in Inglewood, California
NPI 1154441509

Robert Bonilla is a Specialist based in Inglewood, CA. Robert Bonilla practices in Inglewood, CA and has the professional credentials of MD. The NPI Number for Robert Bonilla is 1154441509 and holds a License No. A36897 (California).

The current practice location address for Robert Bonilla is 418 E. Arbor Vitae St., Inglewood, CA and can be reached out via phone at 310-673-8600 and via fax at 310-673-9949.

Location: 418 E. Arbor Vitae St., Inglewood, CA, 90301-3450
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1154441509
Provider Name
Robert Bonilla
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
418 E. Arbor Vitae St., Inglewood, CA, 90301-3450
Phone Number
310-673-8600
Fax Number
310-673-9949
Provider Enumeration Date
03/30/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
00A368970 05 CA
institution
Provider Business Practice Location Address Details
Address
418 E. Arbor Vitae St.
City
Inglewood
State
California
Zip
90301-3450
Phone Number
310-673-8600
Fax Number
310-673-9949
person
Provider Business Mailing Address Details
Address
418 E. Arbor Vitae St.
City
Inglewood
State
California
Zip
90301-3450
Phone Number
310-673-8600
Fax Number
310-673-9949
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
A36897 (California)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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