Organization
JOSE D VILLARICA, M.D, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOSE D VILLARICA MD (DIRECTOR)
(916) 208-8114
Entity
Organization
Contact information
Practice address
1 MEDICAL PLAZA DR, ROSEVILLE, CA 95661-3037
(916) 208-8114
Mailing address
8227 OAK KNOLL DR, GRANITE BAY, CA 95746-9373
(916) 208-8114
Taxonomy
Speciality
Code
Description
License number
State
173000000X
Legal Medicine
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A23438
UPIN
CA
Enumeration date
04/09/2009
Last updated
06/25/2009
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