Individual
JOSE ROMELITO VILLACARLOS CAUSIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
AGNP-C
Contact information
Practice address
8700 BEVERLY BLVD, WEST HOLLYWOOD, CA 90048-1804
(310) 423-1160
(310) 423-4646
Mailing address
609 ST PAUL AVE APT 457B, LOS ANGELES, CA 90017-6021
(202) 746-8210
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
95005768
CA
Other
Enumeration date
07/03/2017
Last updated
10/15/2024
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