Individual
CARLOS JACOB BONILLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2621 OSWELL ST, BAKERSFIELD, CA 93306-3172
(661) 868-6750
Mailing address
PO BOX 1000, BAKERSFIELD, CA 93302-1000
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
—
—
172V00000X
Community Health Worker
—
—
373H00000X
Day Training/Habilitation Specialist
Primary
—
—
Other
Enumeration date
09/09/2021
Last updated
03/20/2025
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