Villablanca, Judith Grob

Villablanca, Judith Grob is an individual health care provider with primary practice located at 4650 W Sunset Blvd , Los Angeles CA 90027-6062. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Hematology-Oncology, which is considered as her primary health care specialty. Villablanca, Judith Grob can be contacted via phone (323) 669-2121.

Contact Information

Primary practice address
4650 W Sunset Blvd Los Angeles CA 90027-6062
Fax: (323) 660-7128
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Hematology-Oncology 2080P0207X G53947 California

Profile Details

NPI number 1477652584
LBN Legal business name Villablanca, Judith Grob
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 22nd, 2006
Last updated Jul 8th, 2007 - about 18 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 1477652584 NPPES
California MEDICAID 00G539470

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