Individual provider · Type 1 NPI

Edgar Bonilla Doolan

Registered Dietitian · San Diego, CA

NPI number 1467215442 Active

Practice location

3020 Childrens Way
San Diego, CA 92123-4223

Mailing address

4754 Lenore Dr
San Diego, CA 92115-4207

Other practice locations

  • 4754 Lenore Dr, San Diego, CA 92115-4207 · (631) 704-9724

Specialties and licenses

TaxonomyCodeLicense
Registered Dietitian Primary 133V00000X86343784 (CA)

Registered Dietitian: A Registered Dietitian (RD)/Registered Dietitian Nutritionist (RDN) is an individual uniquely trained in the science of nutrition and practice of dietetics to design and provide medical nutrition therapy (MNT) and other evidence-based applications of the Nutrition Care Process (NCP) that exemplify the profession's systematic approach to providing high quality nutrition care. Registered dietitians provide MNT for the…

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About NPI 1467215442

Edgar Bonilla Doolan's National Provider Identifier is 1467215442, issued on Feb 2, 2024. The primary taxonomy on file is Registered Dietitian (133V00000X), and the practice location is in San Diego, CA. The record was last updated on Jul 11, 2025.