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Elia Villanueva

Rehabilitation Practitioner in Los Angeles, CA. Individual provider (NPI-1).

NPI number1619705274
StatusActive
Last updated in NPPESApr 18, 2025

Details

NPI
1619705274
Entity type
Individual (NPI-1)
Name
Elia Villanueva
Sex
Female
Sole proprietor
No
Enumeration date
Jul 24, 2024
Certification date
Apr 18, 2025
Last updated
Apr 18, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
225400000X Rehabilitation Practitioner––Yes
171M00000X Case Manager/Care Coordinator––

Practice location

2121 W Temple St
Los Angeles, CA 90026-4915

Phone 213-385-5100

Mailing address

2121 W Temple St
Los Angeles, CA 90026-4915

Phone 213-385-5100

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