| NPI Details | |
|---|---|
| NPI | 1174533038 |
| Gender | Male |
| Enumeration Date | 08/09/2006 |
| Last Updated | 03/14/2012 |
| Entity Type | Individual |
| Active | Over 11 years ago |
| Practice Location | |
|---|---|
| 950 CIRCLE DR SALINAS CA, 93905-2150, US |
|
| Phone | (831) 757-6237 |
| Fax | (831) 757-8458 |
| Business Location | |
|---|---|
| 2144 L ST SAN DIEGO CA, 92102-3839, US |
|
| Phone | (619) 235-8385 |
| Fax | |
| Toxanomy | |
|---|---|
| Taxonomy Code | 363A00000X |
| License State | California |
| License Number | 16941 |
| Remove 1174533038 NPI Number | |
According to our database, Ignacio S. Villanueva PA NPI is 1174533038, taxonomy code is 363A00000X and license number is 16941, license state is located at California. Ignacio S. Villanueva PA physically located at 950 Circle Dr, Salinas CA, 93905-2150. NPI Number Ignacio S. Villanueva PA has the Individual type.
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1174533038 NPI number is provided on an as is basis without warranty of any kind. 1174533038 is maintained by the National Plan & Provider Enumeration System. The contents of Ignacio S. Villanueva PA are for informational purposes only.
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