# SHIRLEY R. VILLARICA, M.D. INC.

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

## Provider details

- **NPI number:** 1427469485
- **Authorized official:** DR. SHIRLEY VILLARICA M.D. (PRESIDENT)
- **Authorized official phone:** (626) 814-8800

## Contact information

- **Practice address:** 1135 S SUNSET AVE STE 410, WEST COVINA, CA 91790-3965
- **Practice address phone:** (626) 814-8800
- **Practice address fax:** (626) 814-8811
- **Mailing address:** 1135 S SUNSET AVE STE 410, WEST COVINA, CA 91790-3965
- **Mailing address phone:** (626) 814-8800
- **Mailing address fax:** (626) 814-8811

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM2500X | Medical Specialty Clinic/Center | A32139 | CA | Yes |

## Other

- **Enumeration date:** 05/13/2014
- **Last updated:** 05/13/2014

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 00A321391 | — | CA |
| 01 | — | 1851371595 | TYPE 1 NPI | CA |