Individual
JACOB ISAIAH VILLEGAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3132 JEFFERSON ST, SAN DIEGO, CA 92110-4421
(619) 683-3100
(619) 682-4037
Mailing address
32657 AUTUMN NEST RD, WINCHESTER, CA 92596-8644
(951) 239-2122
(619) 682-4037
Taxonomy
Speciality
Code
Description
License number
State
373H00000X
Day Training/Habilitation Specialist
Primary
—
CA
Other
Enumeration date
09/29/2025
Last updated
09/29/2025
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