Villa, Brianda
Villa, Brianda is an individual health care provider with primary practice located at 801 Corporate Center Dr Ste 202 , Pomona CA 91768-2628. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Villa, Brianda can be contacted via phone (909) 766-7060.Contact Information
Primary practice address
801 Corporate Center Dr Ste 202
Pomona CA 91768-2628
Phone: (909) 766-7060
Fax: (909) 992-3177
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 101918 | California |
Profile Details
| NPI number | 1669925384 |
|---|---|
| LBN Legal business name | Villa, Brianda |
| Credentials | LCSW 101918 |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 28th, 2016 |
| Last updated | Dec 6th, 2021 - about 5 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1669925384 | NPPES |
| California | Other | 1943 | MEDICAL |
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