Individual
HECTOR BONILLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
300 PASTEUR DR, STANFORD, CA 94305-2200
(650) 723-4000
Mailing address
300 PASTEUR DR, STANFORD, CA 94305-2200
(650) 723-4000
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
C134184
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2278833
—
OH
Enumeration date
11/01/2006
Last updated
04/16/2024
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