Villalobos, Jason Matthew

Villalobos, Jason Matthew is an sole proprietor health care provider with primary practice located at 12501 Chandler Blvd Ste 102 , Valley Village CA 91607-1955. He recently has only one registered license in Behavioral Health & Social Service Providers / Forensic, which is considered as his primary health care specialty. Villalobos, Jason Matthew can be contacted via phone (818) 821-6012.

Contact Information

Primary practice address
12501 Chandler Blvd Ste 102 Valley Village CA 91607-1955
Phone: (818) 821-6012
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Forensic 103TF0200X

Profile Details

NPI number 1023764677
LBN Legal business name Villalobos, Jason Matthew
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 22nd, 2022
Last updated Feb 22nd, 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.

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