Bonilla, Luis A

Bonilla, Luis A is an sole proprietor health care provider with primary practice located at 1580 Valencia St Ste 803B, San Francisco CA 94110-4423. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Bonilla, Luis A can be contacted via phone (415) 285-7940.

Contact Information

Primary practice address
1580 Valencia St Ste 803B San Francisco CA 94110-4423
Phone: (415) 285-7940
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X A44911 California

Profile Details

NPI number 1629019708
LBN Legal business name Bonilla, Luis A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 9th, 2006
Last updated Jun 26th, 2008 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1629019708 NPPES
California Other 01002352 MEDICARE RAILROAD
California MEDICAID 00A449111 MEDICARE RAILROAD

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