KEVIN JASON BONILLA

LOS ANGELES, CA
NPI1770219958
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy171M00000X Case Manager/Care Coordinator
Additional Taxonomies172V00000X Community Health Worker
Enumeration Date2022-07-28
Last Update Date2023-06-15
Business Address
KEVIN JASON BONILLA B.A.
1433 S ROBERTSON BLVD
LOS ANGELES, CA 90035-3414
Phone number: 310-785-2121
Mailing Address
KEVIN JASON BONILLA B.A.
1433 S ROBERTSON BLVD
LOS ANGELES, CA 90035-3414
Phone number: 310-785-2121