Individual
ERIC BONILLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
B.A.
Contact information
Practice address
1501 HUGHES WAY, 150, LONG BEACH, CA 90810-1876
(310) 868-5379
Mailing address
1087 W. VICTORIA STREET, COMPTON, CA 90220-5804
(310) 868-5379
Taxonomy
Speciality
Code
Description
License number
State
225400000X
Rehabilitation Practitioner
Primary
—
—
Other
Enumeration date
01/14/2011
Last updated
01/14/2011
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