Individual
JOANNA MACALALAD VILLAMATER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, NP
Contact information
Practice address
100 UCLA MEDICAL PLAZA SUITE 730, LOS ANGELES, CA 90095-8358
(310) 206-8232
Mailing address
5767 W CENTURY BLVD STE 400, LOS ANGELES, CA 90045-5631
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
95007434
CA
363LA2100X
Acute Care Nurse Practitioner
Primary
95007434
CA
Other
Enumeration date
11/21/2017
Last updated
09/08/2022
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