Villa, Fernanda

Villa, Fernanda is an sole proprietor health care provider with primary practice located at 2121 W Temple St , Los Angeles CA 90026-4915. She recently has 2 registered licenses in different health care specialties including Other Service Providers / Community Health Worker, Other Service Providers / Peer Specialist. Other Service Providers / Peer Specialist is her primary health care specialty. Villa, Fernanda can be contacted via phone (213) 385-5100.

Contact Information

Primary practice address
2121 W Temple St Los Angeles CA 90026-4915
Phone: (213) 385-5100
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Community Health Worker 172V00000X
Other Service Providers / Peer Specialist 175T00000X MPSS-BHZPDG

Profile Details

NPI number 1245648096
LBN Legal business name Villa, Fernanda
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 24th, 2014
Last updated Oct 9th, 2023 - about 3 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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Identifiers

StateTypeNumberIssuer
All States NPI 1245648096 NPPES
California MEDICAID 171M00000X

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