Doctor Name: | PAULINO ANTONIO VILLATORO |
NPI Number: | 1235222084 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D. |
License Number: | A52491 |
Business Practice Address: | 1532 San Bernardino Ave Suite A2 Pomona, CA - 917673559 |
Business Phone Number: | 9096240392 |
Business Fax Number: | |
Mailing Address: | 345 Via Amarilla, SAN DIMAS |
State: | CA |
Postal Code: | 917733997 |
Phone Number: | 9095925483 |
Fax Number: | |
NPI Enumeration Date: | 10/02/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | A52491 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |