Villanueva, Lydia Esther

Villanueva, Lydia Esther is an individual health care provider with primary practice located at 8110 Mango Ave , Fontana CA 92335-3603. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Villanueva, Lydia Esther can be contacted via phone (909) 822-1164.

Contact Information

Primary practice address
8110 Mango Ave Fontana CA 92335-3603
Phone: (909) 822-1164
Fax: (909) 357-2235
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X A51183 California

Profile Details

NPI number 1972563765
LBN Legal business name Villanueva, Lydia Esther
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 24th, 2006
Last updated Dec 21st, 2021 - about 3 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 1972563765 NPPES
California MEDICAID 00A4511830

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