Individual
MICHAEL MARK BONELLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CPT
Contact information
Practice address
1755 OFARRELL ST APT 908, SAN FRANCISCO, CA 94115-5244
(415) 996-7224
Mailing address
1755 OFARRELL ST APT 908, SAN FRANCISCO, CA 94115-5244
(415) 996-7224
Taxonomy
Speciality
Code
Description
License number
State
174H00000X
Health Educator
Primary
1241395333
CA
Other
Enumeration date
10/27/2025
Last updated
10/27/2025
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