Individual provider · Type 1 NPI
Miguel Bonoan, MSN, RN, PMHNP-BC
College Health Registered Nurse · Los Angeles, CA
NPI number
1598510596
Active
Practice location
221 Westwood Plz
Los Angeles, CA 90095-4103
Mailing address
7321 Paso Robles Ave
Lake Balboa, CA 91406-2613
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | RN95265374 (CA) |
| College Health Registered Nurse Primary | 163WC1400X | RN95265374 (CA) |
College Health Registered Nurse: Definition to come...
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About NPI 1598510596
Miguel Bonoan, MSN, RN, PMHNP-BC's National Provider Identifier is 1598510596, issued on Apr 22, 2024. The primary taxonomy on file is College Health Registered Nurse (163WC1400X), and the practice location is in Los Angeles, CA. The record was last updated on Jun 15, 2026.