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:
Health care specialties
Specialty | Code | License # | 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1972563765 | NPPES |
California | MEDICAID | 00A4511830 |
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