Individual
MARK VILLANUEVA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
24012 CALLE DE LA PLATA STE 400, LAGUNA HILLS, CA 92653-7623
(949) 354-5328
Mailing address
24012 CALLE DE LA PLATA STE 400, LAGUNA HILLS, CA 92653-7623
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
11060
CA
Other
Enumeration date
06/08/2026
Last updated
06/26/2026
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