KARLA BONILLA (NPI# 1649811704) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649811704 |
| Entity Type | Organization |
| Organization Name | KARLA BONILLA |
| Practice Address |
Jose Clemente Orozco 2230 Tijuana BAJA CALIFORNIA 22010 MX |
| Mailing Address |
4275 Executive Sq Ste 200 La Jolla CA 92037-1476 |
| Practice Telephone | 6194883200 |
| Practice Fax Number | 8662726924 |
| Enumeration Date | 2019-09-30 |
| Last Update Date | 2019-09-30 |
| Authorized Official Name | DR. KARLA BONILLA (DENTIST) |
| Authorized Official Telephone | 6194883200 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
Dental Providers |
| Other Name | Type Code |
|---|---|
| Karla Bonilla | Doing Business As Name - Organization |
| Street Address |
JOSE CLEMENTE OROZCO 2230 |
| City | TIJUANA |
| State | BAJA CALIFORNIA |
| Zip Code | 22010 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134720691 | Karla Moreno | Dentist | Blvd Sanchez Taboada 16004-6, Tijuana, BAJA CALIFORNIA 22010 | 2020-11-02 |
| 1972119683 | Pastor G Bojorquez | Dentist | 1511 Blvd Sanchez Taboada, Tijuana, BAJA CALIFORNIA 22010 | 2020-09-17 |
| 1447876321 | Ana Karen Vargas | Dentist | Blvd General Abelardo L Rodriguez 10 Ste 306 Zona Urban, Tijuana, BAJA CALIFORNIA 22010 | 2020-06-17 |
| 1699314625 | Jonathan Calleros | Dentist | Paseo De Los Heroes 9211 Ste 110, Tijuana, BAJA CALIFORNIA 22010 | 2019-12-20 |
| 1174161327 | Lizette Espinosa | Dentist | Paseo De Los Herores 304, Tijuana, BAJA CALIFORNIA 22010 | 2019-12-18 |
| 1629616875 | Fernando Vazquez | Dentist | Abelardo L Rodriguez 2916 D, Tijuana, BAJA CALIFORNIA 22010 | 2019-12-18 |
| 1457999757 | Elsa C Aragon | Dentist | Blvd Cuauhtemoc 22016, Tijuana, BAJA CALIFORNIA 22010 | 2019-12-17 |
| 1841834348 | Adriana A. Mercado C. | Dentist | C. Luis Cabrera 2071-301, Zona Urbana Rio Tijuana, Tijuanna, BAJA CALIFORNIA 22010 | 2019-10-29 |
| 1548803554 | Hospital Mexico De Bc Sa De Cv | Dentist | Paseo Tijuana No. 9077 Col. Empleados, Tijuana, BAJA CALIFORNIA 22010 | 2019-10-22 |
| 1285284398 | Melissa Lomeli | Dentist | Ave Padre Aquino 1021, Tijuana, BAJA CALIFORNIA 22010 | 2019-09-19 |
| Find all providers in zip 22010 | ||||
| Taxonomy Code | 1223P0221X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Pediatric Dentistry |
| An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568975613 | Livio A. Gutierrez | Dentist | Ave Jose Clemente Orozco 2340 Suite 501, Zona Rio, Tijuana, BAJA CALIFORNIA 22010 | 2017-11-13 |
| 1548771058 | Maria Teresa Lopez | Dentist | Av. 5 De Mayo #772, Colonia Centro, Tijuana, BAJA CALIFORNIA 22000 | 2017-10-24 |
| 1215446604 | Alma Patricia Serrano | Dentist | Paseo Pedregal 1302, Playas De Tijuana Suite 2b, Tijuana, MEXICO 22500 | 2017-09-28 |
| 1538686308 | Adaris A Ruiz Mena | Dentist | 10070-d Jose Clementa Orozco, Zona Rio, Tijuana, BAJA CALIFORNIA 22000 | 2017-08-23 |
| 1952670408 | Claudia Sanchez | Dentist | 1506 Clemente Orozco St, Suite 203, Tijuana, BC 22000 | 2011-12-29 |
| 1245778422 | Daniel Del Olmo | Dentist | Jose Clemente Orozco 2340, Suite 104, Tijuana, BAJA CALIFORNIA 22010 | 2017-02-07 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.