Liza Bolanos

NPI 1871840009 · on the registry since 2012

Practice

Address: 1051 Picador Blvd
San Diego, CA 92154
Phone: (619) 628-3665
Organisation at this address: Sweetwater Union High School District
Sweetwater Union High School District
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 9

Registry record

Primary taxonomy: 106H00000X
106H00000X
Licence states on file: CA
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2019-01-29

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