Individual
CARMELA VILLARIN IGNACIO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
24853 ALESSANDRO BLVD, #4, MORENO VALLEY, CA 92553-6102
(951) 571-8518
(877) 778-9427
Mailing address
625 FAIR OAKS AVE STE 270, SOUTH PASADENA, CA 91030-5801
(626) 346-2455
(626) 639-3005
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
NP22782
CA
363LF0000X
Family Nurse Practitioner
22782
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
EFF.6/3/13-MORENOVAL
—
CA
05
—
EFF.6/3/13-RIALT,FON
—
CA
05
—
EFF.6/3/13-S&N.RIVER
—
CA
05
—
EFF.6/4/13-ADELANTO
—
CA
05
—
EFF.6/4/13-SB,ONTARI
—
CA
01
—
P01282955/DU4034
RAILROAD MEDICARE
CA
Enumeration date
04/26/2013
Last updated
04/02/2018
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