Individual
DR. RICHARD VILLASENOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
10520 CAMARILLO ST, TOLUCA LAKE, CA 91602
(818) 762-4028
(818) 762-4028
Mailing address
10520 CAMARILLO ST., TOLUCA LAKE, CA 91602
(818) 762-4028
(818) 762-4028
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
A21201
CA
207W00000X
Ophthalmology Physician
Primary
AV1071036
CA
Other
Enumeration date
04/16/2013
Last updated
04/16/2013
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