Family Care Specialists

NPI 1124150545 - Physician Assistant - 363AM0700X

NPI Details
NPI 1124150545
Enumeration Date 03/12/2007
Last Updated 08/11/2008
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name VILLEGAS VILLEGAS
Position MEDICAL DIRECTOR
Phone (323) 255-5643
Fax (323) 254-2158
Practice Location
5823 YORK BLVD STE 3
LOS ANGELES CA, 90042-2634, US
Phone (323) 255-5643
Fax (323) 254-2158
Business Location
815 WASHINGTON BLVD
MONTEBELLO CA, 90640-6123, US
Phone (323) 728-3955
Fax (323) 728-6905
Toxanomy
Taxonomy Code 363AM0700X
License State California
License Number PA18664
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According to our database, Family Care Specialists NPI is 1124150545, taxonomy code is 363AM0700X and license number is PA18664, license state is located at California. Family Care Specialists physically located at 5823 York Blvd Ste 3, Los Angeles CA, 90042-2634. NPI Number 1033115704 has the healthcare provider type.

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1124150545 NPI number is provided on an as is basis without warranty of any kind. 1124150545 is maintained by the National Plan & Provider Enumeration System. The contents of Family Care Specialists are for informational purposes only.