Villanueva, Thea
Villanueva, Thea is an sole proprietor health care provider with primary practice located at 12900 Park Plaza Dr Ste 150 , Cerritos CA 90703-9329. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Gerontology, which is considered as her primary health care specialty. Villanueva, Thea can be contacted via phone (866) 646-3553.Contact Information
Primary practice address
12900 Park Plaza Dr Ste 150
Cerritos CA 90703-9329
Phone: (866) 646-3553
Fax: (562) 622-3058
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Gerontology | 363LG0600X | 23502 | California |
Profile Details
| NPI number | 1437588076 |
|---|---|
| LBN Legal business name | Villanueva, Thea |
| Credentials | Nurse Practitioner (NP) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 4th, 2013 |
| Last updated | Jan 10th, 2014 - about 11 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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