Jackson Bonilla
Jackson Bonilla is a Rehabilitation Practitioner in Torrance, California. Registered with an NPI since 2022.
- In the registry since
- 2022
Practice location Address checks out
4025 W 226th StTorrance, CA 90505-2340
Phone: (310) 373-4556
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Specialties & licences
| Rehabilitation Practitioner (primary) | Taxonomy 225400000X |
|---|
Record details
| NPI number | 1871241778 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | March 10, 2022 |
| Last updated in NPPES | March 10, 2022 |
| Certification date | March 10, 2022 |
| Mailing address | 4025 W 226th St, Torrance, CA 90505-2340 |
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