Jonathan Bolanos
Jonathan Bolanos is a Community Health Worker in Riverside, California. Practices as a sole proprietor. Registered with an NPI since 2024.
- In the registry since
- 2024
- Specialties on file
- 2
Practice location Address checks out
555 Technology CtRiverside, CA 92507-2155
Phone: (951) 686-8500
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Specialties & licences
| Rehabilitation Practitioner (primary) | Taxonomy 225400000X |
|---|---|
| Community Health Worker | Taxonomy 172V00000X |
Record details
| NPI number | 1952163289 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | January 23, 2024 |
| Last updated in NPPES | August 18, 2025 |
| Certification date | August 18, 2025 |
| Mailing address | 555 Technology Ct Ste 105, Riverside, CA 92507-2155 |
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