Villicana, Jonathan

Villicana, Jonathan is an individual health care provider with primary practice located at 1625 Schrader Blvd , Los Angeles CA 90028-6213. He recently has 3 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Behavioral Health & Social Service Providers / Health, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is his primary health care specialty. Villicana, Jonathan can be contacted via phone (213) 413-6666.

Contact Information

Primary practice address
1625 Schrader Blvd Los Angeles CA 90028-6213
Phone: (213) 413-6666
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Behavioral Health & Social Service Providers / Health 103TH0004X
Behavioral Health & Social Service Providers / Clinical 103TC0700X 34428 California

Profile Details

NPI number 1891430245
LBN Legal business name Villicana, Jonathan
Credentials PSYD
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 30th, 2022
Last updated Jul 1st, 2024 - about 5 months 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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