Villapudua, Dina L

Villapudua, Dina L is an individual health care provider with primary practice located at 9502 Monterra Way , Buena Park CA 90620-4260. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Allopathic & Osteopathic Physicians / Obstetrics & Gynecology. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is her primary health care specialty. Villapudua, Dina L can be contacted via phone (714) 469-8868.

Contact Information

Primary practice address
9502 Monterra Way Buena Park CA 90620-4260
Phone: (714) 469-8868
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 18416 California
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X PA 18416 California

Profile Details

NPI number 1992871941
LBN Legal business name Villapudua, Dina L
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 28th, 2006
Last updated Aug 19th, 2015 - about 10 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 1992871941 NPPES
California Other GR0097000 PROVIDER NUMBER
California Other GR0097001 PROVIDER NUMBER

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