Provider Demographics
NPI:1114147402
Name:VILLASENOR, MARIA DELROCIO (MD)
Entity Type:Individual
Prefix:DR
First Name:MARIA
Middle Name:DELROCIO
Last Name:VILLASENOR
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:451 W GONZALES RD STE 230
Mailing Address - Street 2:
Mailing Address - City:OXNARD
Mailing Address - State:CA
Mailing Address - Zip Code:93036-0726
Mailing Address - Country:US
Mailing Address - Phone:805-988-1443
Mailing Address - Fax:805-988-0897
Practice Address - Street 1:451 W GONZALES RD STE 230
Practice Address - Street 2:
Practice Address - City:OXNARD
Practice Address - State:CA
Practice Address - Zip Code:93036-0726
Practice Address - Country:US
Practice Address - Phone:805-988-1443
Practice Address - Fax:805-988-0897
Is Sole Proprietor?:No
Enumeration Date:2007-04-27
Last Update Date:2021-11-11
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Provider Licenses
StateLicense IDTaxonomies
CAA89680207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAA89680OtherSTATE MEDICAL LICENSE