Villanueva, Hazel
Villanueva, Hazel is an sole proprietor health care provider with primary practice located at 16260 Ventura Blvd Ste 600 , Encino CA 91436-4604. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant, which is considered as her primary health care specialty. Villanueva, Hazel can be contacted via phone (818) 986-1977.Contact Information
Primary practice address
16260 Ventura Blvd Ste 600
Encino CA 91436-4604
Phone: (818) 986-1977
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant | 225200000X | 9807 | California |
Profile Details
| NPI number | 1639520638 |
|---|---|
| LBN Legal business name | Villanueva, Hazel |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 30th, 2016 |
| Last updated | Jun 30th, 2016 - about 9 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 | 1639520638 | NPPES |
| California | MEDICAID | 953995050 |
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