Jacob I Villa, is a
Student In An Organized Health Care Education/training Program based in Lake Elsinore, California. Jacob I Villa is licensed to practice in * (Not Available) (license number ) and his current practice location is
31946 Mission Trl Ste B, Lake Elsinore, California. He can be reached at his office (for appointments etc.) via phone at
(951) 245-7663.
NPI number for Jacob I Villa is 1447024930 and his current mailing address is 29122 Citation Ave, Menifee, California. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1447024930.
Healthcare Provider's Profile
| Full Name | Jacob I Villa |
|---|
| Gender | Male |
|---|
| Speciality | Student In An Organized Health Care Education/training Program |
|---|
| Location | 31946 Mission Trl Ste B, Lake Elsinore, California |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1447024930
- Provider Enumeration Date: 11/14/2023
- Last Update Date: 07/24/2024
Medical Identifiers
Medical identifiers for Jacob I Villa such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1447024930 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 106H00000X | Marriage & Family Therapist | (* (Not Available)) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Jacob I Villa is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Jacob I Villa,
29122 Citation Ave,
Menifee, CA 92585-9714
Ph: (909) 568-9818 | Jacob I Villa,
31946 Mission Trl Ste B,
Lake Elsinore, CA 92530-4539
Ph: (951) 245-7663 |
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