JUDITH ANALLELY BONILLA LOPEZ NPI 1972047645

NPI Information

NPI: 1972047645
Provider Name: JUDITH ANALLELY BONILLA LOPEZ
Classification: Counselor - 101YM0800X
Entity Type: Individual

Specialization: Mental Health

PECOS Registration: Yes

Address:
17216 SLOVER AVE
FONTANA, CA
ZIP 92337
Phone: (909) 854-3431
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Judith Anallely Bonilla Lopez is a mental health counselor in Fontana, CA. Judith Anallely Bonilla Lopez NPI is 1972047645. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

17216 SLOVER AVE
FONTANA, CA
ZIP 92337-580
Phone: (909) 854-3431
Fax: (909) 428-8437

The NPI 1972047645 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS).

The enumeration date for this NPI number is 12/14/2016 and was last updated on 12/27/2016.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YM0800X	Counselor	Mental Health	63986	CALIFORNIA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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