Villa, Kenneth J
Villa, Kenneth J is an individual health care provider with primary practice located at 525 3Rd Ave , Chula Vista CA 91910-5616. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology, which is considered as his primary health care specialty. Villa, Kenneth J can be contacted via phone (619) 585-4044.Contact Information
Primary practice address
525 3Rd Ave
Chula Vista CA 91910-5616
Phone: (619) 585-4044
Fax: (619) 585-4015
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Neurology | 2084N0400X | G71718 | California |
Profile Details
| NPI number | 1538270046 |
|---|---|
| LBN Legal business name | Villa, Kenneth J |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 31st, 2006 |
| Last updated | Jun 27th, 2013 - about 11 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 | 1538270046 | NPPES |
| California | MEDICAID | 00G717180 |
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