Hidalgo Villacorta, Juan Jose

Hidalgo Villacorta, Juan Jose is an individual health care provider with primary practice located at 14435 Hamlin St Ste 101 , Van Nuys CA 91401-6205. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Hidalgo Villacorta, Juan Jose can be contacted via phone (818) 988-7067.

Contact Information

Primary practice address
14435 Hamlin St Ste 101 Van Nuys CA 91401-6205
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 104611 California

Profile Details

NPI number 1033757570
LBN Legal business name Hidalgo Villacorta, Juan Jose
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 16th, 2019
Last updated Dec 16th, 2019 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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