MR. Jesse Anthony Bonilla, PMHNP-BC is a psychiatric/mental health nurse practitioner in Santa Ana, CA with 1 years of experience. MR. Jesse Anthony Bonilla, PMHNP-BC NPI is 1689440711. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
The provider's business location address is:
2112 E 4TH ST STE 228A
SANTA ANA, CA
ZIP 92705-840
Phone: (714) 420-9890
Fax: (949) 749-7433
The NPI 1689440711 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.
The enumeration date for this NPI number is 11/29/2023 and was last updated on 4/27/2024.