# SHEILA M BONILLA MD INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1447549530
- **Authorized official:** DR. SHEILA MARIE BONILLA MD (PRESIDENT)
- **Authorized official phone:** (323) 570-1001

## Contact information

- **Practice address:** 622 W DUARTE RD STE 108, ARCADIA, CA 91007-9269
- **Practice address phone:** (264) 451-8536
- **Practice address fax:** (626) 445-8627
- **Mailing address:** 622 W DUARTE RD STE 108, ARCADIA, CA 91007-9269
- **Mailing address phone:** (626) 445-1853
- **Mailing address fax:** (626) 445-8627

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM2500X | Medical Specialty Clinic/Center | A69281 | CA | Yes |

## Other

- **Enumeration date:** 03/29/2011
- **Last updated:** 12/26/2023