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1114990058
FERNANDO LUIS VILLA
LONG BEACH, CA
NPI
1114990058
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207R00000X Internal Medicine
(Licence: CA G52981)
Enumeration Date
2006-02-10
Last Update Date
2007-07-08
Business Address
-- FERNANDO LUIS VILLA MD
1333 CHESTNUT AVE
LONG BEACH, CA 90813-2944
Phone number: 562-599-8635
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Mailing Address
-- FERNANDO LUIS VILLA MD
PO BOX 1816
SAN PEDRO, CA 90733-1816
Phone number: 562-599-8635
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