Grandelyn Villareal

NPI 1912871781 · on the registry since 2025 · sole proprietor

Practice

Address: 8615 Knott Ave Ste 1
Buena Park, CA 90620
Phone: (714) 236-9355
Organisation at this address: South Gate Rose Phcy Inc
Hana Medical Group, Inc.
Southgate Rose Pharmacy Inc
Mercedes B Samson, M.D., Inc.
Leonidas A. Johnson, O.D., A Professional Corporation
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 12

Registry record

Primary taxonomy: 171100000X
171100000X
Licence states on file: CA
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2025-11-06

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