Gallardo-Villena, Cheryll Adaniel

Gallardo-Villena, Cheryll Adaniel is an individual health care provider with primary practice located at 7373 West Ln , Stockton CA 95210-3377. She recently has only one registered license in Allopathic & Osteopathic Physicians / Hospitalist, which is considered as her primary health care specialty. Gallardo-Villena, Cheryll Adaniel can be contacted via phone (209) 476-2000.

Contact Information

Primary practice address
7373 West Ln Stockton CA 95210-3377
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X A64952 California

Profile Details

NPI number 1083793111
LBN Legal business name Gallardo-Villena, Cheryll Adaniel
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 2nd, 2006
Last updated Dec 13th, 2021 - about 4 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 1083793111 NPPES
California MEDICAID 00A649520

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