Individual
DR. BRANDON LUCAS VILLARREAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
18300 ROSCOE BLVD, NORTHRIDGE, CA 91325
(818) 885-8500
Mailing address
PO BOX 7001, TARZANA, CA 91357-7001
(818) 888-7815
(818) 715-1722
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
G60466
CA
Other
Enumeration date
08/03/2006
Last updated
08/20/2018
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