Individual
GILMORE A VILLEGAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3580 WILSHIRE BLVD STE 2000, LOS ANGELES, CA 90010-2533
(213) 381-1250
(213) 383-4803
Mailing address
3580 WILSHIRE BLVD STE 2000, LOS ANGELES, CA 90010-2533
(213) 381-1250
(213) 383-4803
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
—
—
225400000X
Rehabilitation Practitioner
Primary
—
—
Other
Enumeration date
06/22/2022
Last updated
04/17/2025
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