Individual
CARLOS BONILLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
673 SAN JOSE AVE, SAN FRANCISCO, CA 94110-4914
(415) 282-3789
Mailing address
1125 MILLER AVE, OAKLAND, CA 94601-1449
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
05/25/2010
Last updated
05/25/2010
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