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
Phone: (310) 794-1276
Fax:
Website:
Health care specialties
| Specialty | Code | License # | 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 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1194726042 | NPPES |
| California | MEDICAID | 00G790430 | |
| California | Other | CB239866 | |
| California | Other | 00G790430 |
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