Villanueva, Juventino

Villanueva, Juventino is an individual health care provider with primary practice located at 6601 Rugby Ave 300, Huntington Park CA 90255-4040. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Villanueva, Juventino can be contacted via phone (323) 582-1177.

Contact Information

Primary practice address
6601 Rugby Ave 300 Huntington Park CA 90255-4040
Phone: (323) 582-1177
Fax: (323) 589-2635
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X A46207 California

Profile Details

NPI number 1164532446
LBN Legal business name Villanueva, Juventino
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 30th, 2006
Last updated Jan 27th, 2012 - about 12 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 1164532446 NPPES
California Other 00A462070 MEDI-CAL

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