Juan Jesus Villa, DC
Individual provider Active NPI Rehabilitation Chiropractor · Heber, CA
NPI 1497574487 · NPPES record last updated Oct 7, 2024
Key facts
- NPI
- 1497574487
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Rehabilitation Chiropractor 111NR0400X
- License
- 34106 (CA)
- Practice address
- 61 E 14TH St
Heber, CA 92249 - Phone
- (760) 457-8727
- NPI assigned
- Oct 7, 2024
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rehabilitation Chiropractor | 111NR0400X | 34106 | CA | Yes |
Addresses
Primary practice location
61 E 14TH St
Heber, CA 92249
Mailing address
PO Box 125
Heber, CA 92249-0125
Phone (760) 457-8727
Other providers in Heber, CA
- Christian Eduardo Piceno
- Ericka Yvette Pompa
- Damaris I Redona
- Julian Jess Soto
- Georgina Villa Escobedo
All providers in Heber, CA · Rehabilitation Chiropractor in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 7, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.