Individual
EDGAR BONILLA DOOLAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3020 CHILDRENS WAY, SAN DIEGO, CA 92123-4223
(858) 576-1700
Mailing address
4754 LENORE DR, SAN DIEGO, CA 92115-4207
(631) 704-9724
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
86343784
CA
Other
Enumeration date
02/02/2024
Last updated
07/11/2025
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us