Individual
DR. DEBORAH J VILLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1930 EL CAMINO REAL, ATASCADERO, CA 93422-1511
(805) 466-1001
(805) 466-1007
Mailing address
5767 W CENTURY BLVD STE 400, LOS ANGELES, CA 90045-5631
(310) 301-5200
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
G79043
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00G790430
BLUE SHIELD PIN
CA
05
—
00G790430
—
CA
01
—
CB239866
MEDICARE ID
CA
Enumeration date
08/02/2005
Last updated
12/30/2025
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