Individual
MARK VILLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PMHNP
Contact information
Practice address
5 HUTTON CENTRE DR STE 950, SANTA ANA, CA 92707-8714
(855) 434-7763
Mailing address
5 HUTTON CENTRE DR STE 950, SANTA ANA, CA 92707-8714
(855) 434-7763
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
95033742
CA
Other
Enumeration date
02/20/2025
Last updated
05/01/2025
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