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Jonathan Bolanos
NPI 1952163289 · on the registry since 2024 · sole proprietor
Practice
- Address
- 555 Technology Ct
Riverside, CA 92507 - Phone
- (951) 686-8500
- Organisation at this address
- Olive Crest
Olive CrestInferred from a shared address, not stated in the registry. - Clinicians at this address
- 154
Registry record
- Primary taxonomy
- 225400000X
225400000X
- Also registered as
- 172V00000X
- Sex
- Male
- Record last updated
- 2025-08-18
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