Search › California › 163W00000X
Vienna Villasor
NPI 1235929456 · on the registry since 2025
Practice
- Address
- 510 E Magnolia St Ste 100
Stockton, CA 95202 - Phone
- (209) 938-0831
- Fax
- (209) 938-0849
- Organisation at this address
- Port City Operating Company, Llc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 8
Registry record
- Primary taxonomy
- 163W00000X
163W00000X
- Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2025-05-09
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