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NPI Code Detail

MEDICARE: NANCY RICH VILLA ASW116719

MEDICARE: NANCY RICH VILLA ASW116719
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
1104100000XSocial Worker116719CA

General Provider Information

NPI Number : 1205414976
Entity Type Code : Individual
Provider Name (Legal Business Name) : NANCY RICH VILLA ASW116719
Provider Business Mailing Address
First Line : 3631 S HARBOR BLVD STE 200
Second Line :
City : SANTA ANA
State : CA
Zip : 92704-7936
Country : US
Telephone Number : 657-356-6490
Fax Number :
Provider Business Practice Location Address
First Line : 3631 S HARBOR BLVD STE 200
Second Line :
City : SANTA ANA
State : CA
Zip : 92704-7936
Country : US
Telephone Number : 657-356-6490
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/01/2021
Last Update Date : 04/07/2026

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Directions to “ NANCY RICH VILLA ASW116719” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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