Ignacio, Carmela Villarin

Ignacio, Carmela Villarin is an sole proprietor health care provider with primary practice located at 24853 Alessandro Blvd #4, Moreno Valley CA 92553-6102. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Ignacio, Carmela Villarin can be contacted via phone (951) 571-8518.

Contact Information

Primary practice address
24853 Alessandro Blvd #4 Moreno Valley CA 92553-6102
Phone: (951) 571-8518
Fax: (877) 778-9427
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X NP22782 California
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 22782 California

Profile Details

NPI number 1134563695
LBN Legal business name Ignacio, Carmela Villarin
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 26th, 2013
Last updated Apr 2nd, 2018 - about 6 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 1134563695 NPPES
California MEDICAID EFF.6/4/13-ADELANTO
California MEDICAID EFF.6/3/13-RIALT,FON
California MEDICAID EFF.6/3/13-S&N.RIVER
California MEDICAID EFF.6/3/13-MORENOVAL
California Other P01282955/DU4034
California MEDICAID EFF.6/4/13-SB,ONTARI

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