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

Mayra Elizabeth Bonilla

Individual provider Rehabilitation Practitioner · NPI 1376071381

Mayra Elizabeth Bonilla is a Rehabilitation Practitioner in San Diego, California. Works from 3 locations. Licensed in California.

Licensed in
CA
In the registry since
2017
Specialties on file
2
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Practice location Address checks out

3420 Kenyon St
San Diego, CA 92110-5001
Phone: (619) 221-6596
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 4063 Whittier Blvd Ste 202, Los Angeles, CA 90023-2536 — (323) 268-2107
  • 762 Cypress St, San Dimas, CA 91773-3505 — (909) 599-1227

Specialties & licences

Marriage & Family Therapist (primary) Taxonomy 106H00000X · Licence 154424 (CA)
Rehabilitation Practitioner Taxonomy 225400000X

Record details

NPI number1376071381
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJune 3, 2017
Last updated in NPPESOctober 13, 2025
Certification dateOctober 13, 2025

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