Edward Xavier Bonilla, OT | |
3989 W Stetson Ave Ste 105, Hemet, CA 92545-9697 | |
(951) 652-3334 | |
Not Available |
Full Name | Edward Xavier Bonilla |
---|---|
Gender | Male |
Speciality | Occupational Therapy |
Experience | 3 Years |
Location | 3989 W Stetson Ave Ste 105, Hemet, California |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1003578006 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225X00000X | Occupational Therapist | 22784 (California) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
All Star Physical Therapy Inc | 7719030949 | 106 |
Provider Name | All Star Physical Therapy Inc |
---|---|
Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1750559431 PECOS PAC ID: 7719030949 Enrollment ID: O20090812000451 |
Mailing Address | Practice Location Address |
---|---|
Edward Xavier Bonilla, OT 24630 Washington Ave Ste 201, Murrieta, CA 92562-6177 Ph: (951) 200-3620 | Edward Xavier Bonilla, OT 3989 W Stetson Ave Ste 105, Hemet, CA 92545-9697 Ph: (951) 652-3334 |
Mariella Ysobel Romero Timbang, OTR/L Occupational Therapist Medicare: Accepting Medicare Assignments Practice Location: 1350 E Devonshire Ave, Hemet, CA 92544 Phone: 951-925-2571 | |
Christina Rachael Uplinger, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1791 W Acacia Ave, Hemet, CA 92545 Phone: 951-765-5100 | |
Mrs. Brooke Jensen, OTR/L Occupational Therapist Medicare: Accepting Medicare Assignments Practice Location: 3889 W Stetson Ave Ste 150, Hemet, CA 92545 Phone: 951-791-9140 | |
Robert Paul Bos, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 725 W Thornton Ave Spc 148, Hemet, CA 92543 Phone: 325-201-2895 | |
Daniel Williams, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1350 E Devonshire Ave, Hemet, CA 92544 Phone: 941-925-2571 | |
Lissa-ann Portorreal, PT Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1350 E Devonshire Ave, Hemet, CA 92544 Phone: 951-925-2571 |