Michael Mark Bonella, CPT
Health Educator in San Francisco, CA. Individual provider (NPI-1).
NPI number1508734153
StatusActive
Last updated in NPPESOct 27, 2025
Details
- NPI
- 1508734153
- Entity type
- Individual (NPI-1)
- Name
- Michael Mark Bonella
- Credential
- CPT
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Oct 27, 2025
- Certification date
- Oct 27, 2025
- Last updated
- Oct 27, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 174H00000X | Health Educator | 1241395333 | CA | Yes |
Practice location
1755 Ofarrell St Apt 908San Francisco, CA 94115-5244
Phone 415-996-7224
Mailing address
1755 Ofarrell St Apt 908San Francisco, CA 94115-5244
Phone 415-996-7224
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