Michael Villaverde Villanueva, PA-C
Physician Assistant in Perris, CA. Individual provider (NPI-1).
NPI number1316909757
StatusActive
Last updated in NPPESDec 23, 2021
Details
- NPI
- 1316909757
- Entity type
- Individual (NPI-1)
- Name
- Mr. Michael Villaverde Villanueva
- Credential
- PA-C
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Apr 3, 2006
- Certification date
- Dec 23, 2021
- Last updated
- Dec 23, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363A00000X | Physician Assistant | PA15429 | CA | Yes |
Other names
- Michael Villaverde Villanueva (Professional Name)
Practice location
126 Avocado Ave Ste 207Perris, CA 92571-2605
Phone 951-657-0544 · Fax 951-657-9644
Mailing address
126 Avocado Ave Ste 207Perris, CA 92571-2605
Phone 951-657-0544 · Fax 951-657-9644
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All 7 Physician Assistant providers in Perris · All 1,122 providers in Perris
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