Lee-Villanueva, Betty Wai-Han

Lee-Villanueva, Betty Wai-Han is an individual health care provider with primary practice located at 330 N Brand Blvd Suite 110, Glendale CA 91203-2308. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Lee-Villanueva, Betty Wai-Han can be contacted via phone (866) 260-2020.

Contact Information

Primary practice address
330 N Brand Blvd Suite 110 Glendale CA 91203-2308
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 11366T California

Profile Details

NPI number 1073559233
LBN Legal business name Lee-Villanueva, Betty Wai-Han
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 22nd, 2006
Last updated Dec 16th, 2010 - about 15 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 1073559233 NPPES
California Other 041522 COLE PROVIDER NUMBER
California MEDICAID 1306035118 COLE PROVIDER NUMBER
California Other 9362933 COLE PROVIDER NUMBER

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