Christopher Villanueva Dalaten, PA-C
Physician Assistant in Los Angeles, CA. Individual provider (NPI-1).
NPI number1154097293
StatusActive
Last updated in NPPESJun 3, 2025
Details
- NPI
- 1154097293
- Entity type
- Individual (NPI-1)
- Name
- Christopher Villanueva Dalaten
- Credential
- PA-C
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Aug 18, 2021
- Certification date
- Jun 3, 2025
- Last updated
- Jun 3, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363A00000X | Physician Assistant | PA60245 | CA | Yes |
Practice location
1700 E Cesar E Chavez Ave Ste 2500Los Angeles, CA 90033-2434
Phone 323-268-6731
Mailing address
14650 Aviation Blvd Ste 200Hawthorne, CA 90250-6670
Phone 323-306-9632
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