MEDICARE: DR. RAFAEL ARNOLDO VILLEDA 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
1	207L00000X	Anesthesiology Physician	A83727	CA

Other Identifiers

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

General Provider Information

NPI Number	:	1588614531
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. RAFAEL ARNOLDO VILLEDA MD

Provider Business Mailing Address
First Line	:	1150 VETERANS BLVD
Second Line	:
City	:	REDWOOD CITY
State	:	CA
Zip	:	94063-2037
Country	:	US
Telephone Number	:	650-299-2606
Fax Number	:	650-299-2624

Provider Business Practice Location Address
First Line	:	1150 VETERANS BLVD
Second Line	:
City	:	REDWOOD CITY
State	:	CA
Zip	:	94063-2037
Country	:	US
Telephone Number	:	650-299-2606
Fax Number	:	650-299-2624

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/11/2006
Last Update Date	:	12/13/2021

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