Stephanie Bonilla, is a
Counselor - Addiction (substance Use Disorder) based in Wilmington, California. Stephanie Bonilla is licensed to practice in * (Not Available) (license number ) and her current practice location is
1318 N Avalon Blvd, Wilmington, California. She can be reached at her office (for appointments etc.) via phone at
(310) 549-2710.
NPI number for Stephanie Bonilla is 1316477250 and her current mailing address is 1318 N Avalon Blvd, Wilmington, California. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1316477250.
Healthcare Provider's Profile
| Full Name | Stephanie Bonilla |
|---|
| Gender | Female |
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| Speciality | Counselor - Addiction (substance Use Disorder) |
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| Location | 1318 N Avalon Blvd, Wilmington, California |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1316477250
- Provider Enumeration Date: 06/13/2017
- Last Update Date: 06/13/2017
Medical Identifiers
Medical identifiers for Stephanie Bonilla such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1316477250 | NPI | - | NPPES |
| 6197-R | Medicaid | CA | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 103TA0400X | Psychologist - Addiction (substance Use Disorder) | (* (Not Available)) | Secondary |
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Stephanie Bonilla is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Stephanie Bonilla,
1318 N Avalon Blvd,
Wilmington, CA 90744-2639
Ph: (310) 549-2710 | Stephanie Bonilla,
1318 N Avalon Blvd,
Wilmington, CA 90744-2639
Ph: (310) 549-2710 |
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