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General NPI Number Information
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NPI Number | 1083424287
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Entity Type | Organization
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Legal Business Name | VILLEGAS MEDICAL CORPORATION
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Dates
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Enumeration Date | 01/09/2025
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Last Update Date | 02/27/2025
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Provider Practice Location Address
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Address Line | 751 MEDICAL CENTER CT
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City | CHULA VISTA
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State | CA
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Zip | 91911-6617
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Country | US
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Telephone | 877-897-8402
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Fax |
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Provider Business Mailing Address
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Address Line | 13223 BLACK MOUNTAIN RD STE 1-357
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City | SAN DIEGO
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State | CA
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Zip | 92129-2698
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Country | US
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Telephone | 877-897-8402
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | ALEJANDRO M. VILLEGAS
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Credential | MD
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Telephone | 877-897-8402
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RC0200X
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Taxonomy Name | Critical Care Medicine (Internal Medicine) Physician
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License Number |
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License Number State |
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