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

Teresa Bonilla, SUPPORTSPECIALIST

Individual provider Peer Specialist · NPI 1700772498

Teresa Bonilla, SUPPORTSPECIALIST is a Peer Specialist in San Pedro, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2025

Practice location Address checks out

590 W 8th St
San Pedro, CA 90731-3120
Phone: (310) 831-2358
Show map & directions

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

Specialties & licences

Peer Specialist (primary) Taxonomy 175T00000X · Licence MPSS-WTVSYE (CA)

Record details

NPI number1700772498
Entity typeIndividual (Type 1)
GenderFemale
Credentials SUPPORTSPECIALIST
Sole proprietorYes
NPI enumeratedJune 17, 2025
Last updated in NPPESJune 17, 2025
Certification dateJune 17, 2025

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