Mrs Amy Bonillas, SUDCC III is a
Student In An Organized Health Care Education/training Program based in Los Banos, California. Mrs Amy Bonillas is licensed to practice in * (Not Available) (license number ) and her current practice location is
40 W G St Bldg 2, Los Banos, California. She can be reached at her office (for appointments etc.) via phone at
(209) 710-6110.
NPI number for Mrs Amy Bonillas is 1043693302 and her current mailing address is 40 W G St Bldg 2, Los Banos, California. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1043693302.
Healthcare Provider's Profile
| Full Name | Mrs Amy Bonillas |
|---|
| Gender | Female |
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| Speciality | Student In An Organized Health Care Education/training Program |
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| Location | 40 W G St Bldg 2, Los Banos, 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: 1043693302
- Provider Enumeration Date: 07/06/2015
- Last Update Date: 03/04/2025
Medical Identifiers
Medical identifiers for Mrs Amy Bonillas such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1043693302 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 8117 (California) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (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. Mrs Amy Bonillas 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 |
|---|
Mrs Amy Bonillas, SUDCC III
40 W G St Bldg 2,
Los Banos, CA 93635-3657
Ph: (209) 710-6110 | Mrs Amy Bonillas, SUDCC III
40 W G St Bldg 2,
Los Banos, CA 93635-3657
Ph: (209) 710-6110 |
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