Tatlonghari, Roy Villena
Tatlonghari, Roy Villena is an individual health care provider with primary practice located at 4650 Sunset Blvd Ms 125, Los Angeles CA 90027. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Adult Health, Physician Assistants & Advanced Practice Nursing Providers / Occupational Health. Physician Assistants & Advanced Practice Nursing Providers / Adult Health is his primary health care specialty. Tatlonghari, Roy Villena can be contacted via phone (323) 361-2533.Contact Information
Primary practice address
4650 Sunset Blvd Ms 125
Los Angeles CA 90027
Phone: (323) 361-2533
Fax: (323) 361-8095
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Adult Health | 363LA2200X | LIC#604372 | California |
Physician Assistants & Advanced Practice Nursing Providers / Occupational Health | 363LX0106X | LIC#604372 | California |
Profile Details
NPI number | 1053636720 |
---|---|
LBN Legal business name | Tatlonghari, Roy Villena |
Credentials | RN-CANP |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Apr 6th, 2010 |
Last updated | Apr 6th, 2010 - about 14 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1053636720 | NPPES |
California | Other | 15203 | FURNISHING LICENSE |
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