Individual
VICTOR ORLANDO BONILLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD, FACC
Contact information
Practice address
2261 DOUGLAS BLVD, ROSEVILLE, CA 95661-3831
(916) 783-7109
(916) 783-2882
Mailing address
2261 DOUGLAS BLVD, ROSEVILLE, CA 95661-3831
(916) 783-7109
(916) 781-2882
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
144879
MT
207RC0000X
Cardiovascular Disease Physician
Primary
C51183
CA
Other
Enumeration date
07/13/2006
Last updated
09/12/2024
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