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Search › California › 1041C0700X

Kevin Villalta

NPI 1790160794 · on the registry since 2015 · sole proprietor

Practice

Address
11721 Telegraph Rd
Santa Fe Springs, CA 90670
Phone
(562) 949-8455
Organisation at this address
Josue Diaz
Rivendell Inc.
Pacific Clinics
Pacific Clinics
Pacific Clinics
Inferred from a shared address, not stated in the registry.
Clinicians at this address
176

Registry record

Primary taxonomy
1041C0700X
1041C0700X
Also registered as
101YM0800X
101YM0800X
171M00000X
390200000X
Licence states on file
CA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2023-05-24

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