Individual
DR. DANIEL MARK VILLAROSA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
18064 WIKA RD, STE102, APPLE VALLEY, CA 92307-2125
(760) 242-6652
(760) 242-6642
Mailing address
18064 WIKA RD, STE102, APPLE VALLEY, CA 92307-2125
(760) 242-6652
(760) 242-6642
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
C50281
CA
207V00000X
Obstetrics & Gynecology Physician
Primary
C50281
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00C502811
—
CA
Enumeration date
09/07/2006
Last updated
12/06/2023
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