Individual
HERNAN VILLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
6060 SUNRISE VISTA DR STE 2100, CITRUS HEIGHTS, CA 95610-7068
(916) 967-6253
Mailing address
6060 SUNRISE VISTA DR STE 2100, CITRUS HEIGHTS, CA 95610-7068
(916) 967-6253
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
—
CA
175T00000X
Peer Specialist
Primary
—
CA
175T00000X
Peer Specialist
—
—
Other
Enumeration date
07/23/2024
Last updated
03/26/2025
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