Provider Demographics
NPI:1033352836
Name:VILLALOBOS, DOROTHY C (RN)
Entity Type:Individual
Prefix:MS
First Name:DOROTHY
Middle Name:C
Last Name:VILLALOBOS
Suffix:
Gender:F
Credentials:RN
Other - Prefix:MISS
Other - First Name:DOROTHY
Other - Middle Name:
Other - Last Name:LITTLEFIELD
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:8615 BEVERLY BLVD
Mailing Address - Street 2:UNIT 17
Mailing Address - City:PICO RIVERA
Mailing Address - State:CA
Mailing Address - Zip Code:90660-1911
Mailing Address - Country:US
Mailing Address - Phone:562-965-5733
Mailing Address - Fax:562-299-5919
Practice Address - Street 1:8615 BEVERLY BLVD
Practice Address - Street 2:UNIT 17
Practice Address - City:PICO RIVERA
Practice Address - State:CA
Practice Address - Zip Code:90660-1911
Practice Address - Country:US
Practice Address - Phone:562-965-5733
Practice Address - Fax:562-299-5919
Is Sole Proprietor?:Yes
Enumeration Date:2009-04-09
Last Update Date:2009-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA430259163WP2201X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WP2201XNursing Service ProvidersRegistered NurseAmbulatory Care