Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Kevin Jason Bonilla, BA

Individual provider Community Health Worker · NPI 1770219958

Kevin Jason Bonilla, BA is a Community Health Worker in Los Angeles, California. Practices as a sole proprietor and works from 2 locations. Registered with an NPI since 2022.

In the registry since
2022
Specialties on file
2
What do these letters mean?
BA — Bachelor of Arts
An undergraduate arts degree.

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Practice location Address checks out

1433 S Robertson Blvd
Los Angeles, CA 90035-3414
Phone: (310) 785-2121
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1433 S Robertson Blvd, Los Angeles, CA 90035-3414 — (310) 785-2121

Specialties & licences

Case Manager/Care Coordinator (primary) Taxonomy 171M00000X
Community Health Worker Taxonomy 172V00000X

Record details

NPI number1770219958
Entity typeIndividual (Type 1)
GenderMale
Credentials BA
Sole proprietorYes
NPI enumeratedJuly 28, 2022
Last updated in NPPESJune 15, 2023
Certification dateJune 15, 2023

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