Villalta, Genesee Maylee

Villalta, Genesee Maylee is an sole proprietor health care provider with primary practice located at 1510 Capitola Rd , Santa Cruz CA 95062-2912. She recently has 2 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC), Physician Assistants & Advanced Practice Nursing Providers / Medical. Physician Assistants & Advanced Practice Nursing Providers / Medical is her primary health care specialty. Villalta, Genesee Maylee can be contacted via phone (831) 427-3500.

Contact Information

Primary practice address
1510 Capitola Rd Santa Cruz CA 95062-2912
Phone: (831) 427-3500
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC) 261QF0400X
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 61474 California

Profile Details

NPI number 1851023410
LBN Legal business name Villalta, Genesee Maylee
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 30th, 2022
Last updated Jan 31st, 2024 - about 2 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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