IndividualActive
Dennis Bonavilla
NPI 1023535820 · Electroneurodiagnostic Specialist/Technologist · Wildomar, CA
Provider details
- NPI number
- 1023535820
- Entity type
- Individual
- Primary specialty
- Electroneurodiagnostic Specialist/TechnologistTechnologists, Technicians & Other Technical Service Providers
- Sex
- Male
- Sole proprietor
- Yes
Specialties & taxonomies
Technologists, Technicians & Other Technical Service Providers
Practice location
34859 Frederick Street
Suite 112
Wildomar, CA 92595
Phone: (951) 897-0770
Approximate (ZIP-level) locationGet directions
Mailing address
34859 Frederick St Ste 112
Wildomar, CA 92595-7007
Registry dates
- Enumerated
- 2017-08-23
- Last updated
- 2017-08-23
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.