# PAULINO A VILLATORO, MD PC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** VILLATORO MEDICAL GROUP
- **Organization subpart:** No

## Provider details

- **NPI number:** 1922291228
- **Authorized official:** PAULINO ANTONIO VILLATORO M.D. (PRESIDENT/OWNER)
- **Authorized official phone:** (909) 624-0392

## Contact information

- **Practice address:** 1532 SAN BERNARDINO AVE, SUITE A2, POMONA, CA 91767-3559
- **Practice address phone:** (909) 624-0392
- **Practice address fax:** (909) 624-0984
- **Mailing address:** 1532 E SAN BERNARDINO AVE, SUITE A2, POMONA, CA 91767-3559
- **Mailing address phone:** (909) 624-0392
- **Mailing address fax:** (909) 624-0984

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | A52491 | CA | Yes |

## Other

- **Enumeration date:** 08/21/2007
- **Last updated:** 04/30/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 00A524911 | — | CA |