Villagran, Willy

Villagran, Willy is an individual health care provider with primary practice located at 21229 Hawthorne Blvd Ste A , Torrance CA 90503-5501. He recently has only one registered license in Dental Providers / Dental Assistant, which is considered as his primary health care specialty. Villagran, Willy can be contacted via phone (310) 409-4265.

Contact Information

Primary practice address
21229 Hawthorne Blvd Ste A Torrance CA 90503-5501
Phone: (310) 409-4265
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dental Assistant 126800000X 72577 California

Profile Details

NPI number 1376906974
LBN Legal business name Villagran, Willy
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 31st, 2016
Last updated Oct 5th, 2020 - about 5 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 1376906974 NPPES
California MEDICAID 72577

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