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Organization
JOHN A GOROSTIZA VILLANUEVA MD, INC
Active
Organization
JOHN A GOROSTIZA VILLANUEVA MD, INC
Active
Other names
John A Gorostiza Villanueva MD, Inc Pain & Spine
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN A GOROSTIZA VILLANUEVA MD (DOCTOR AND OWNER)
(626) 437-3661
Entity
Organization
Contact information
Practice address
2121 W MAGNOLIA BLVD STE B, BURBANK, CA 91506
(818) 939-9398
(818) 626-3058
Mailing address
2121 W MAGNOLIA BLVD STE B, BURBANK, CA 91506-1706
(626) 437-3661
(818) 626-3058
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
NULL
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
—
Other
Enumeration date
09/27/2018
Last updated
03/12/2019
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