Villa, Deborah J

Villa, Deborah J is an individual health care provider with primary practice located at 200 Medical Plaza 365,530,420,250,120 , Los Angeles CA 90095-7068. She recently has only one registered license in Allopathic & Osteopathic Physicians / Hematology & Oncology, which is considered as her primary health care specialty. Villa, Deborah J can be contacted via phone (310) 794-1276.

Contact Information

Primary practice address
200 Medical Plaza 365,530,420,250,120 Los Angeles CA 90095-7068
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hematology & Oncology 207RH0003X G79043 California

Profile Details

NPI number 1194726042
LBN Legal business name Villa, Deborah J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 2nd, 2005
Last updated Jun 11th, 2019 - about 5 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 1194726042 NPPES
California MEDICAID 00G790430
California Other CB239866
California Other 00G790430

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