Bonilla-Tandoc, Sheila Marie
Bonilla-Tandoc, Sheila Marie is an sole proprietor health care provider with primary practice located at 622 W Duarte Rd Ste 108 , Arcadia CA 91007-9269. She recently has only one registered license in Allopathic & Osteopathic Physicians / Allergy & Immunology, which is considered as her primary health care specialty. Bonilla-Tandoc, Sheila Marie can be contacted via phone (626) 445-1853.Contact Information
Primary practice address
622 W Duarte Rd Ste 108
Arcadia CA 91007-9269
Phone: (626) 445-1853
Fax: (626) 445-8627
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Allergy & Immunology | 207RA0201X | A69281 | California |
Profile Details
| NPI number | 1457387805 |
|---|---|
| LBN Legal business name | Bonilla-Tandoc, Sheila Marie |
| Credentials | MD, MS |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 25th, 2006 |
| Last updated | Jun 3rd, 2024 - about 2 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1457387805 | NPPES |
| California | Other | CE1617 | GROUP RAILROAD MEDICARE |
| California | Other | W11675 | GROUP RAILROAD MEDICARE |
| California | Other | GR0016910 | GROUP RAILROAD MEDICARE |
| California | Other | 1356390009 | GROUP RAILROAD MEDICARE |
| California | MEDICAID | 00A692810 | GROUP RAILROAD MEDICARE |
| California | Other | 00A692810197 | GROUP RAILROAD MEDICARE |
| California | Other | 00A692810 | GROUP RAILROAD MEDICARE |
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