Individual
CHARIZZ ANN DAGCUTA BONILLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
15725 WHITTIER BLVD STE 500, WHITTIER, CA 90603-2350
(562) 448-1350
(562) 464-5122
Mailing address
1665 BRIDGEPORT, WEST COVINA, CA 91791-4116
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
95036674
CA
363LF0000X
Family Nurse Practitioner
Primary
95036674
CA
Other
Enumeration date
09/09/2025
Last updated
04/22/2026
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