Glen Villanueva, DO | |
600 B St, Livingston, CA 95334-9593 | |
(209) 850-3500 | |
(209) 850-3499 |
Full Name | Glen Villanueva |
---|---|
Gender | Male |
Speciality | Family Practice |
Experience | 28 Years |
Location | 600 B St, Livingston, California |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1922018647 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 20A6969 (California) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Livingston Community Health | 8820084692 | 15 |
Entity Name | Livingston Community Health |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1427110329 PECOS PAC ID: 8820084692 Enrollment ID: O20040426000617 |
Mailing Address | Practice Location Address |
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Glen Villanueva, DO 600 B St, Livingston, CA 95334-9593 Ph: (209) 850-3500 | Glen Villanueva, DO 600 B St, Livingston, CA 95334-9593 Ph: (209) 850-3500 |
Dr. Afnan Aisha Qadeer, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1140 Main St, Livingston, CA 95334 Phone: 209-394-7913 Fax: 209-394-3660 | |
Augie N. Provencio, Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 600 B St Bldg A-c, Livingston, CA 95334 Phone: 209-850-3500 | |
Mr. Ganesan Venkatapathy, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1140 Main St, Livingston, CA 95334 Phone: 209-394-1362 Fax: 209-394-1369 | |
Karen Marie Romero, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1140 Main St, Livingston, CA 95334 Phone: 209-394-7913 Fax: 209-394-3021 |