Individual
DR. NATHANIEL LEON VILLANUEVA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
465 N ROXBURY DR, BEVERLY HILLS, CA 90210-4206
(310) 248-6251
Mailing address
71949 HIGHWAY 111 STE 300, RANCHO MIRAGE, CA 92270-4826
(310) 248-6250
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
A158807
CA
Other
Enumeration date
04/08/2013
Last updated
08/03/2021
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