Villacorta, Victor R.

Villacorta, Victor R. is an individual health care provider with primary practice located at 1150 Veterans Blvd , Redwood City CA 94063-2037. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Villacorta, Victor R. can be contacted via phone (650) 299-2000.

Contact Information

Primary practice address
1150 Veterans Blvd Redwood City CA 94063-2037
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X A61698 California

Profile Details

NPI number 1972653780
LBN Legal business name Villacorta, Victor R.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 12th, 2007
Last updated Dec 27th, 2021 - about 3 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 1972653780 NPPES
California MEDICAID 00A616980

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