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Individual

CONRAD BONILLA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PMHNP

Contact information

Practice address
1775 CHESTNUT AVE, LONG BEACH, CA 90813-1674
(562) 599-8444
Mailing address
980 S LOS ROBLES AVE, PASADENA, CA 91106-4362
(323) 606-3189

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
95206856
CA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
95036333
CA

Other

Enumeration date
03/05/2020
Last updated
02/05/2026
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