Search › California › 103TC0700X
Jonathan Villicana, PSYD
NPI 1891430245 · on the registry since 2022
Practice
- Address
- 1625 Schrader Blvd
Los Angeles, CA 90028 - Phone
- (213) 413-6666
- Organisation at this address
- Los Angeles Lgbt Center
Los Angeles Lgbt CenterInferred from a shared address, not stated in the registry. - Clinicians at this address
- 266
Registry record
- Primary taxonomy
- 103TC0700X
103TC0700X
- Also registered as
- 390200000X
103TH0004X - Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2024-07-01
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