Mr Roy Villena Tatlonghari, RN-CANP - Nurse Practitioner in Los Angeles, CA

Mr Roy Villena Tatlonghari, RN-CANP is a Nurse Practitioner - Adult Health based in Los Angeles, California. Mr Roy Villena Tatlonghari is licensed to practice in California (license number LIC#604372) and his current practice location is 4650 Sunset Blvd, Ms 125, Los Angeles, California. He can be reached at his office (for appointments etc.) via phone at (323) 361-2533.

NPI number for Mr Roy Villena Tatlonghari is 1053636720 and his current mailing address is P.o. Box 27980, Childrens Hospital Los Angeles, Ms 125, Los Angeles, California. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1053636720.

Contact Information

Mr Roy Villena Tatlonghari, RN-CANP
4650 Sunset Blvd, Ms 125,
Los Angeles, CA 90027
(323) 361-2533
(323) 361-8095

Map and Direction




Provider's Profile

Full NameMr Roy Villena Tatlonghari
GenderMale
SpecialityNurse Practitioner - Adult Health
Location4650 Sunset Blvd, Los Angeles, California
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1053636720
  • Provider Enumeration Date: 04/06/2010
  • Last Update Date: 04/06/2010

Medical Identifiers

Medical identifiers for Mr Roy Villena Tatlonghari such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1053636720NPI-NPPES
15203OtherCAFURNISHING LICENSE

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LA2200XNurse Practitioner - Adult Health LIC#604372 (California)Primary
363LX0106XNurse Practitioner - Occupational Health LIC#604372 (California)Secondary

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. Mr Roy Villena Tatlonghari 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 AddressPractice Location Address
Mr Roy Villena Tatlonghari, RN-CANP
P.o. Box 27980, Childrens Hospital Los Angeles, Ms 125,
Los Angeles, CA 90027-0980

Ph: (323) 361-4206
Mr Roy Villena Tatlonghari, RN-CANP
4650 Sunset Blvd, Ms 125,
Los Angeles, CA 90027

Ph: (323) 361-2533

Reviews and Comments


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