| Eloisa Bonilla, LMFT | |
|
2309 Pacific Coast Hwy Ste 202, Hermosa Beach, CA 90254-2753 | |
| (310) 359-0320 | |
| Not Available |
| Full Name | Eloisa Bonilla |
|---|---|
| Gender | Female |
| Speciality | Marriage & Family Therapist |
| Location | 2309 Pacific Coast Hwy Ste 202, Hermosa Beach, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982180121 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | LMFT124853 (California) | Primary |
| Entity Name | Sud Specialty Group - Ca |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1972138238 PECOS PAC ID: 9537534177 Enrollment ID: O20230412001370 |
| Mailing Address | Practice Location Address |
|---|---|
| Eloisa Bonilla, LMFT Po Box 1173, Hawthorne, CA 90251-1173 Ph: Not Available | Eloisa Bonilla, LMFT 2309 Pacific Coast Hwy Ste 202, Hermosa Beach, CA 90254-2753 Ph: (310) 359-0320 |
Ciana Gonzales, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 2309 Pacific Coast Hwy Ste 202, Hermosa Beach, CA 90254 Phone: 213-342-5928 |
Haley Falzon, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 2309 Pacific Coast Hwy, Hermosa Beach, CA 90254 Phone: 310-359-5138 |
Ms. Kristina Jackson, MFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 2309 Pacific Coast Hwy, Suite 102, Hermosa Beach, CA 90254 Phone: 310-480-7324 |
Kaitlin Alexis Stone, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 2401 Pacific Coast Hwy Ste 107, Hermosa Beach, CA 90254 Phone: 323-283-9342 |
Brandon Hyatt, Couples Therapy Medicare: Medicare Enrolled Practice Location: 263 27th Court, Hermosa Beach, CA 90254 Phone: 310-245-4127 |
Theodore V Cohen, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 2401 Pacific Coast Hwy Ste 108, Hermosa Beach, CA 90254 Phone: 310-697-2834 |
Emily Torchiana, MA, AMFT, APCC Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 2309 Pacific Coast Hwy Ste 207, Hermosa Beach, CA 90254 Phone: 310-421-8541 |