Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Joel Bonilla-Larsen, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1063899243

Joel Bonilla-Larsen, MD is a Student in an Organized Health Care Education/Training Program in Sacramento, California. Practices as a sole proprietor. Registered with an NPI since 2015.

In the registry since
2015
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

4860 Y St Ste 1600
Sacramento, CA 95817-2307
Phone: (916) 734-3630
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X

Record details

NPI number1063899243
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedApril 27, 2015
Last updated in NPPESApril 27, 2015

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