Kurniawan, May Rose Villasin

Kurniawan, May Rose Villasin is an sole proprietor health care provider with primary practice located at 225 W Broadway Suite 100, Glendale CA 91204-1331. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Kurniawan, May Rose Villasin can be contacted via phone (888) 727-1771.

Contact Information

Primary practice address
225 W Broadway Suite 100 Glendale CA 91204-1331
Phone: (888) 727-1771
Fax: (818) 545-7606
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 17543 California

Profile Details

NPI number 1609096742
LBN Legal business name Kurniawan, May Rose Villasin
Credentials PAC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 30th, 2007
Last updated Jul 8th, 2007 - about 17 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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