Individual
FARAH JEHAN VILLANUEVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
4101 TORRANCE BLVD, TORRANCE, CA 90503-4607
(310) 374-8191
(310) 303-6834
Mailing address
21311 MADRONA AVE STE 101, TORRANCE, CA 90503-5970
(310) 792-4058
Taxonomy
Speciality
Code
Description
License number
State
2084N0402X
Neurology with Special Qualifications in Child Neurology Physician
Primary
20A12479
CA
Other
Enumeration date
04/23/2011
Last updated
11/18/2021
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