Organization
SHIRLEY R. VILLARICA, M.D. INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SHIRLEY VILLARICA M.D. (PRESIDENT)
(626) 814-8800
Entity
Organization
Contact information
Practice address
1135 S SUNSET AVE STE 410, WEST COVINA, CA 91790-3965
(626) 814-8800
(626) 814-8811
Mailing address
1135 S SUNSET AVE STE 410, WEST COVINA, CA 91790-3965
(626) 814-8800
(626) 814-8811
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
A32139
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A321391
—
CA
01
—
1851371595
TYPE 1 NPI
CA
Enumeration date
05/13/2014
Last updated
05/13/2014
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