Crisostomo, Josephine Villanueva

Crisostomo, Josephine Villanueva is an individual health care provider with primary practice located at 726 1/2 Brent Ave , South Pasadena CA 91030-5917. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Crisostomo, Josephine Villanueva can be contacted via phone (626) 864-6871.

Contact Information

Primary practice address
726 1/2 Brent Ave South Pasadena CA 91030-5917
Phone: (626) 864-6871
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 756560 California

Profile Details

NPI number 1417410648
LBN Legal business name Crisostomo, Josephine Villanueva
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 14th, 2019
Last updated Apr 14th, 2019 - about 5 years ago

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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1417410648 NPPES
California Other 756560 CALIFORNIA BOARD OF REGISTERED NURSING

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