Individual
JASON BONILLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
39 HUNTER POINT RD, POMONA, CA 91766-4959
(909) 670-6416
Mailing address
39 HUNTER POINT RD, POMONA, CA 91766-4959
(909) 670-6416
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
21249
CA
Other
Enumeration date
05/05/2026
Last updated
05/05/2026
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