Individual
MR. ELIAS VILLARREAL JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
200 W ARBOR DR, SAN DIEGO, CA 92103-9000
(800) 926-8273
(888) 539-8781
Mailing address
PO BOX 232410, SAN DIEGO, CA 92193-2410
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA60897
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1689829475
NPI
—
Enumeration date
11/21/2008
Last updated
09/07/2023
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