Chacon Villanueva, Marcos Eliseo

Chacon Villanueva, Marcos Eliseo is an sole proprietor health care provider with primary practice located at 200 E Rowland St # 237 , Covina CA 91723-3146. He recently has only one registered license in Behavioral Health & Social Service Providers / Health Service, which is considered as his primary health care specialty. Chacon Villanueva, Marcos Eliseo can be contacted via phone (323) 712-1840.

Contact Information

Primary practice address
200 E Rowland St # 237 Covina CA 91723-3146
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Health Service 103TH0100X CPT-02271594 California

Profile Details

NPI number 1194504498
LBN Legal business name Chacon Villanueva, Marcos Eliseo
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 26th, 2023
Last updated Sep 26th, 2023 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Popular Providers