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NPI Code Detail

MEDICARE: ALEXANDER A VILLARASA MD

MEDICARE: ALEXANDER A VILLARASA MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1208000000XPediatrics PhysicianA34432CA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1639500929
Entity Type Code : Organization
Provider Name (Legal Business Name) : ALEXANDER A VILLARASA MD
Provider Business Mailing Address
First Line : 1801 E TAHQUITZ CANYON WAY
Second Line : STE 102
City : PALM SPRINGS
State : CA
Zip : 92262-7120
Country : US
Telephone Number : 760-327-5900
Fax Number : 760-327-5905
Provider Business Practice Location Address
First Line : 1801 E TAHQUITZ CANYON WAY
Second Line : STE 102
City : PALM SPRINGS
State : CA
Zip : 92262-7120
Country : US
Telephone Number : 760-327-5900
Fax Number : 760-327-5905
Authorized Official
Title or Position : OWNER
Name : ALEXANDER ALCANTARA VILLARASA
Credential : M.D.
Telephone Number : 760-327-5900
Provider Enumeration Date : 12/11/2013
Last Update Date : 12/11/2013

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Directions to “ALEXANDER A VILLARASA MD ” Practice Location

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