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:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1164532446 | NPPES |
| California | Other | 00A462070 | MEDI-CAL |
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