Individual provider · NPI-1
Dr. Evelyn Janet Bonilla, MD
Anesthesiology · Duarte, CA
NPI number1306151857
StatusActive
Last updated in NPPESNov 12, 2020
Details
- NPI
- 1306151857
- Entity type
- Individual (NPI-1)
- Name
- Dr. Evelyn Janet Bonilla
- Credential
- MD
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Aug 9, 2010
- Certification date
- Nov 12, 2020
- Last updated
- Nov 12, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207L00000X | Anesthesiology | A121635 | CA | Yes |
Practice location
1500 Duarte RdDuarte, CA 91010-3012
Phone 626-256-4673
Mailing address
Po Box 512185Los Angeles, CA 90051-0185
Phone 626-775-3514
Other practice locations
1000 W Carson St # 461
Torrance, CA 90502-2004
Torrance, CA 90502-2004
Phone 310-222-2700 · Fax 310-533-1841
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