Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DENNIS BONAVILLA
Active Sole ProprietorDENNIS BONAVILLA is a Electroneurodiagnostic Technologist healthcare provider located in WILDOMAR, California. NPI 1023535820 is currently active in the NPPES registry. Verify at CMS.
Electroneurodiagnostic Technologist · WILDOMAR, CA
Registration Details
- NPI Number
- 1023535820
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 23, 2017 (9.0002870784851 yrs)
- Last Updated
- Aug 23, 2017
- Sole Proprietor
- Yes
Practice Information
- Address
-
34859 FREDERICK STREETSUITE 112WILDOMAR, CA, 92595Browse CA providers · Browse ZIP 92595
- Phone
- 9518970770
- Primary Specialty
-
Electroneurodiagnostic Technologist
246ZE0600X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.