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Jackson Bonilla
Rehabilitation Practitioner in Torrance, California
NPI 1871241778

Jackson Bonilla is a Rehabilitation Practitioner based in Torrance, CA. Jackson Bonilla practices in Torrance, CA. The NPI Number for Jackson Bonilla is 1871241778 and holds a License No. (California).

The current practice location address for Jackson Bonilla is 4025 W 226Th St, Torrance, CA and can be reached out via phone at 310-373-4556.

Location: 4025 W 226Th St, Torrance, CA, 90505-2340
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1871241778
Provider Name
Jackson Bonilla
Credential
Provider Entity Type
Individual
Gender
Male
Address
4025 W 226Th St, Torrance, CA, 90505-2340
Phone Number
310-373-4556
Fax Number
Provider Enumeration Date
03/10/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
4025 W 226Th St
City
Torrance
State
California
Zip
90505-2340
Phone Number
310-373-4556
Fax Number
person
Provider Business Mailing Address Details
Address
4025 W 226Th St
City
Torrance
State
California
Zip
90505-2340
Phone Number
310-373-4556
Fax Number
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Rehabilitation Practitioner
Speciality
-
Taxonomy
225400000X
License No.
()
Definition
A health care practitioner who trains or retrains individuals disabled by disease or injury to help them attain their maximum functional capacity.
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