person
Mr. Jesse Anthony Bonilla, PMHNP-BC verified
Psychiatric/Mental Health Nurse Practitioner in Huntington Beach, California
NPI 1689440711

Jesse Anthony Bonilla is a Psychiatric/Mental Health Nurse Practitioner based in Irvine, CA and is specialized in Psychiatric/Mental Health. Jesse Anthony Bonilla practices in Huntington Beach, CA and has the professional credentials of PMHNP-BC. The NPI Number for Jesse Anthony Bonilla is 1689440711 and holds a License No. 95028137 (California).

The current practice location address for Jesse Anthony Bonilla is 19671 Beach Blvd Ste 215, Huntington Beach, CA and can be reached out via phone at 171-454-5555.

Location: 19671 Beach Blvd Ste 215, Huntington Beach, CA, 92618-4405
person
Provider Profile Details
NPI Number
1689440711
Provider Name
Jesse Anthony Bonilla
Credential
PMHNP-BC
Provider Entity Type
Individual
Gender
Male
Address
19671 Beach Blvd Ste 215, Huntington Beach, CA, 92618-4405
Phone Number
171-454-5555
Fax Number
Provider Enumeration Date
11/29/2023
Last Update Date
05/22/2024
institution
Provider Business Practice Location Address Details
Address
19671 Beach Blvd Ste 215
City
State
Zip
92648-5903
Phone Number
171-454-5555
Fax Number
person
Provider Business Mailing Address Details
Address
19671 Beach Blvd Ste 215
City
State
Zip
92648-5903
Phone Number
171-454-5555
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Psychiatric/Mental Health
Taxonomy
License No.
95028137 (California)
Definition
Definition to come...
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