Individual
MICHAEL VILLASIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD, MPH
Contact information
Practice address
11370 ANDERSON ST STE 3600, LOMA LINDA, CA 92354-3450
(909) 558-4884
Mailing address
11370 ANDERSON ST STE 1519, LOMA LINDA, CA 92354-3450
(909) 558-4884
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
35.140058
OH
207QS0010X
Sports Medicine (Family Medicine) Physician
Primary
A200844
CA
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
329732
LA
Other
Enumeration date
03/29/2018
Last updated
07/01/2025
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