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

Tara Bonilla

Individual provider Independent Duty Corpsman · NPI 1659766822

Tara Bonilla is an Independent Duty Corpsman in San Diego, California. Registered with an NPI since 2015.

In the registry since
2015

Practice location Address checks out

34800 Bob Wilson Dr
San Diego, CA 92134-1098
Phone: (619) 532-6400
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Independent Duty Corpsman (primary) Taxonomy 1710I1002X

Record details

NPI number1659766822
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedApril 3, 2015
Last updated in NPPESApril 3, 2015

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