Individual
BRANDON BONACHEA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
615 W CIVIC CENTER DR, SANTA ANA, CA 92701-4006
(714) 795-3444
Mailing address
615 W CIVIC CENTER DR, SANTA ANA, CA 92701-4006
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
10/16/2023
Last updated
11/29/2023
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