Individual provider · Type 1 NPI

Luisa D. Bonilla, LVN

Licensed Vocational Nurse · Victorville, CA

NPI number 1093611030 Active

Practice location

12652 Autumn Leaves
Victorville, CA 92395

Mailing address

9480 Box Svl
Victorville, CA 92395

Other practice locations

  • 9480 Box Svl, Victorville, CA 92395 · (760) 792-3667

Specialties and licenses

TaxonomyCodeLicense
Licensed Vocational Nurse Primary 164X00000X188539 (CA)

Licensed Vocational Nurse: An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. [An alternate term for licensed practical nurse arising from difference in occupational titles between states and post-high school training programs and institutions.] Requirements for education, experience, licensure, and job re…

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About NPI 1093611030

Luisa D. Bonilla, LVN's National Provider Identifier is 1093611030, issued on Oct 16, 2026. The primary taxonomy on file is Licensed Vocational Nurse (164X00000X), and the practice location is in Victorville, CA. The record was last updated on Oct 16, 2026.