Villalon, Mark L

Villalon, Mark L is an individual health care provider with primary practice located at 3443 Villa Ln Suite 2, Napa CA 94558-6417. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Interventional Cardiology, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Interventional Cardiology is his primary health care specialty. Villalon, Mark L can be contacted via phone (707) 253-8280.

Contact Information

Primary practice address
3443 Villa Ln Suite 2 Napa CA 94558-6417
Phone: (707) 253-8280
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Interventional Cardiology 207RI0011X A129668 California
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 256817 Massachusetts

Profile Details

NPI number 1720249816
LBN Legal business name Villalon, Mark L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 20th, 2008
Last updated Jul 12th, 2016 - about 10 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 1720249816 NPPES
Massachusetts MEDICAID 110094017A

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