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Organization
MARIA THERESA O VILLA, PC
Active
Organization
MARIA THERESA O VILLA, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GEORGE PONCE MD (CEO)
(951) 347-4823
Entity
Organization
Contact information
Practice address
655 SATURN BLVD STE J, SAN DIEGO, CA 92154-4734
(619) 646-7975
Mailing address
655 SATURN BLVD STE J, SAN DIEGO, CA 92154-4734
(619) 646-7975
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
12/19/2024
Last updated
12/19/2024
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