Search › California › 106H00000X
Jacob Villa
NPI 1447024930 · on the registry since 2023 · sole proprietor
Practice
- Address
- 31946 Mission Trl Ste B
Lake Elsinore, CA 92530 - Phone
- (951) 245-7663
- Organisation at this address
- County Of Riverside
Genesis Pharmacy Corp
Genesis Pharmacy Corp
Dr. Javier Rios, A Medical CorporationInferred from a shared address, not stated in the registry. - Clinicians at this address
- 58
Registry record
- Primary taxonomy
- 106H00000X
106H00000X
- Also registered as
- 390200000X
- Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2025-09-11
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