Villablanca, Juan Pablo
Villablanca, Juan Pablo is an individual health care provider with primary practice located at 757 Westwood Plz Ste 1501 , Los Angeles CA 90095-3075. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Neuroradiology, Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology, Allopathic & Osteopathic Physicians / Diagnostic Radiology. Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology is his primary health care specialty. Villablanca, Juan Pablo can be contacted via phone (310) 301-6800.Contact Information
Primary practice address
757 Westwood Plz Ste 1501
Los Angeles CA 90095-3075
Phone: (310) 301-6800
Fax: (310) 794-9035
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Neuroradiology | 2085N0700X | G70784 | California |
| Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology | 2085R0204X | G70784 | California |
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | G70784 | California |
Profile Details
| NPI number | 1073564407 |
|---|---|
| LBN Legal business name | Villablanca, Juan Pablo |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 12th, 2006 |
| Last updated | Jun 9th, 2022 - about 4 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 | 1073564407 | NPPES |
| California | MEDICAID | 00G707840 |
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