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General NPI Number Information
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NPI Number | 1861461915
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Entity Type | Individual
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Provider Name | FRANK BONELLI MD
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Gender | Male
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Dates
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Enumeration Date | 03/14/2006
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Last Update Date | 11/18/2025
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Provider Practice Location Address
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Address Line | 8750 WILSHIRE BLVD STE 100
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City | BEVERLY HILLS
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State | CA
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Zip | 90211-2708
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Country | US
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Telephone | 310-689-3100
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 28900
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City | GREEN BAY
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State | WI
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Zip | 54324-0900
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Country | US
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Telephone | 920-490-9046
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | 036-098939
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License Number State | IL
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Taxonomy #2
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Taxonomy Code | 2085N0700X
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Taxonomy Name | Neuroradiology Physician
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License Number | 53558-20
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License Number State | WI
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Taxonomy #3
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | 53558-20
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License Number State | WI
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Taxonomy #4
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | G204850
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License Number State | CA
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