Nelson Bolanos, PSYCHIATRIC TECH

NPI 1376101212 · on the registry since 2019

Practice

Address: 2008 N Garey Ave
Pomona, CA 91767
Phone: (909) 623-6131
Fax: (909) 865-9281
Organisation at this address: Genoa Healthcare Llc
Tri-City Mental Health Center
Tri-City Mental Health Authority
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 290

Registry record

Primary taxonomy: 167G00000X
167G00000X
Licence states on file: CA
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2019-06-17

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California