Healthcare Provider Details

I. General information

NPI: 1023888005
Provider Name (Legal Business Name): LOVELYN GINOO HOJILLA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/02/2024
Last Update Date: 01/02/2024
Certification Date: 01/02/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

224 LOCH LOMOND DR
VACAVILLE CA
95687-5194
US

IV. Provider business mailing address

313 RIDGECREST CIR
SUISUN CITY CA
94585-1787
US

V. Phone/Fax

Practice location:
  • Phone: 707-515-8057
  • Fax: 707-240-0091
Mailing address:
  • Phone: 707-515-8057
  • Fax: 707-240-0091

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code320700000X
TaxonomyPhysical Disabilities Residential Treatment Facility
License Number
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: