Individual
MR. CARLOS ISAAC VILLARREAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
3612 1/2 E 1ST ST, LOS ANGELES, CA 90063-2326
(323) 264-7796
(323) 264-7778
Mailing address
3612 1/2 E 1ST ST, LOS ANGELES, CA 90063-2326
(626) 824-8461
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
20538
CA
Other
Enumeration date
09/09/2009
Last updated
12/15/2021
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