Individual
KARIE GLENNYS VILLANUEVA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1000 W CARSON ST, TORRANCE, CA 90502-2059
(424) 306-4000
Mailing address
1000 W CARSON ST, TORRANCE, TORRANCE, CA 90502
(424) 306-4000
Taxonomy
Speciality
Code
Description
License number
State
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary
A164698
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/28/2018
Last updated
09/30/2025
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