# DANIEL M. VILLAROSA, M.D., A PROFESSIONAL CORPORATION

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1093223901
- **Authorized official:** DR. DANIEL M. VILLAROSA M.D. (PHYSICIAN OWNER)
- **Authorized official phone:** (909) 322-3124

## Contact information

- **Practice address:** 18064 WIKA RD STE 102, APPLE VALLEY, CA 92307-2182
- **Practice address phone:** (760) 242-6652
- **Practice address fax:** (760) 242-6642
- **Mailing address:** 18064 WIKA RD STE 102, APPLE VALLEY, CA 92307-2182
- **Mailing address phone:** (760) 242-6652
- **Mailing address fax:** (760) 242-6642

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207VX0000X | Obstetrics Physician | C50281 | CA | Yes |

## Other

- **Enumeration date:** 01/12/2018
- **Last updated:** 01/12/2018