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Mr. Jose L Villagomez, MD
General Practice Physician in Los Angeles, California
NPI 1699717462

Jose L Villagomez is a General Practice Physician based in Los Angeles, CA. Jose L Villagomez practices in Los Angeles, CA and has the professional credentials of MD. The NPI Number for Jose L Villagomez is 1699717462 and holds a License No. A61283 (California).

The current practice location address for Jose L Villagomez is 12099 W Washington Blvd, Los Angeles, CA and can be reached out via phone at 310-398-3803 and via fax at 310-398-5189.

Location: 12099 W Washington Blvd, Los Angeles, CA, 90066-5882
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1699717462
Provider Name
Jose L Villagomez
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
12099 W Washington Blvd, Los Angeles, CA, 90066-5882
Phone Number
310-398-3803
Fax Number
310-398-5189
Provider Enumeration Date
06/13/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
00A612830 01 CA MEDICAL
11613705 01 CAQH
00A612830 05 CA
institution
Provider Business Practice Location Address Details
Address
12099 W Washington Blvd
City
Los Angeles
State
California
Zip
90066-5882
Phone Number
310-398-3803
Fax Number
310-398-5189
person
Provider Business Mailing Address Details
Address
12099 W Washington Blvd
City
Los Angeles
State
California
Zip
90066-5882
Phone Number
310-398-3803
Fax Number
310-398-5189
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Emergency Medicine
Speciality
-
Taxonomy
207P00000X
License No.
A61283 (California)
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
General Practice
Speciality
-
Taxonomy
208D00000X
License No.
A61283 (California)
Definition
Definition to come...
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