Individual
EILEEN DESERI VILLALOBOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
840 N AVENUE 66, LOS ANGELES, CA 90042-1508
(323) 717-5925
Mailing address
13128 CORAK ST, BALDWIN PARK, CA 91706-3816
(323) 717-5925
Taxonomy
Speciality
Code
Description
License number
State
225400000X
Rehabilitation Practitioner
Primary
—
—
Other
Enumeration date
06/09/2026
Last updated
06/09/2026
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