Individual
STEPHEN R VILLANUEVA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4060 FOURTH AVE STE 206, SAN DIEGO, CA 92103-2120
(619) 299-5246
Mailing address
719 DIAMOND DR, CHULA VISTA, CA 91911-6715
(619) 636-0525
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
51678
CA
Other
Enumeration date
02/11/2022
Last updated
02/11/2022
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