Individual provider · Type 1 NPI
Conrad Bonilla, PMHNP
Psychiatric/Mental Health Nurse Practitioner · Long Beach, CA
NPI number
1235764630
Active
Practice location
1775 Chestnut Ave
Long Beach, CA 90813-1674
Mailing address
980 S Los Robles Ave
Pasadena, CA 91106-4362
Other practice locations
- 800 S Main St, Corona, CA 92882-3420 · (951) 737-4343
- 1680 E 120th St, Los Angeles, CA 90059-3026 · (424) 338-8000
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | 95036333 (CA) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
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About NPI 1235764630
Conrad Bonilla, PMHNP's National Provider Identifier is 1235764630, issued on Mar 5, 2020. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Long Beach, CA. The record was last updated on Feb 5, 2026.