Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208000000X | Pediatrician | A26147 | CA |
N | 2080N0001X | Neonatal-Perinatal Doctor | A26147 | CA |
NPI | 1053467274 |
---|---|
Provider Name | Dr. Bellaflor Villanueva Trompeta |
First Address | Northridge, CA 91325-4127 |
Second Address | Northridge, CA 91325-4127 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 29/01/2007 |
Last Update Date | 08/05/2015 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
00A261470 | (05) | CA |