Individual
PABLO GONZALO ECHEVARRIA VILLANUEVA-MEYER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1505 WILSON TER STE 155, GLENDALE, CA 91206-4032
(818) 500-4055
Mailing address
1505 WILSON TER STE 155, GLENDALE, CA 91206-4032
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
A173166
CA
207RN0300X
Nephrology Physician
Primary
A173166
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/22/2016
Last updated
07/07/2021
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