MAURICIO BONILLA

ONTARIO, CA
NPI1801424866
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: CA  A186367)
Additional Taxonomies390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2020-03-27
Last Update Date2023-08-02
Business Address
MAURICIO BONILLA MD
1129 W 4TH ST
ONTARIO, CA 91762-1703
Phone number: 909-363-9300
Mailing Address
MAURICIO BONILLA MD
452 E 10TH ST
POMONA, CA 91766-3446
Phone number: 909-450-9208