IndividualActive
Miguel Bonoan
NPI 1598510596 · College Health Registered Nurse · Los Angeles, CA
Provider details
- NPI number
- 1598510596
- Entity type
- Individual
- Primary specialty
- College Health Registered NurseNursing Service Providers
- Sex
- Male
- Sole proprietor
- Yes
- License
- RN95265374 (CA)
Specialties & taxonomies
Nursing Service Providers
Practice location
221 Westwood Plz
Los Angeles, CA 90095-4103
Phone: (310) 825-4073
Approximate (ZIP-level) locationGet directions
Mailing address
20849 Gretchen St
Winnetka, CA 91306-4016
Registry dates
- Enumerated
- 2024-04-22
- Last updated
- 2024-04-22
- Certified
- 2024-04-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.