Individual
BENITO VILLANUEVA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
9850 GENESEE AVE, SUITE 410, LA JOLLA, CA 92037-1224
(858) 550-4954
(858) 550-4946
Mailing address
9850 GENESEE AVE, SUITE 410, LA JOLLA, CA 92037-1224
(858) 550-4954
(858) 550-4946
Taxonomy
Speciality
Code
Description
License number
State
207VE0102X
Reproductive Endocrinology Physician
Primary
A26716
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
26-2105023
TAX ID
CA
Enumeration date
06/02/2006
Last updated
05/06/2009
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