Search › California › 363A00000X
Carissa Villavicencio, PA-C
NPI 1205318938 · on the registry since 2018
Practice
- Address
- 655 W Avenue Q
Palmdale, CA 93551 - Phone
- (661) 259-5200
- Organisation at this address
- La Baraka 1188, Inc
Advanced Pain Medical Group, Inc.
Antelope Valley Specialty Surgical Center, LlcInferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- 363A00000X
363A00000X
- Sex
- Female
- Record last updated
- 2020-01-15
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California