Vincent Bonilla, LMFT
Marriage & Family Therapist in Downey, CA. Individual provider (NPI-1).
NPI number1689929895
StatusActive
Last updated in NPPESSep 3, 2024
Details
- NPI
- 1689929895
- Entity type
- Individual (NPI-1)
- Name
- Mr. Vincent Bonilla
- Credential
- LMFT
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Jul 13, 2012
- Certification date
- Sep 3, 2024
- Last updated
- Sep 3, 2024
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - MARRIAGE AND FAMILY THERAPIST
- Can order and refer
- Part B Yes · DME Yes · Home health No · Power mobility No · Hospice No
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | 51543 | CA | Yes |
Practice location
8050 Florence Ave Ste 32Downey, CA 90240-3896
Phone 818-305-0931
Mailing address
Po Box 93129Pasadena, CA 91109-3129
Phone 818-305-0931
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