Provider Demographics
NPI:1285672741
Name:VILLOSIS, MARIA FE BELLEN (MD)
Entity Type:Individual
Prefix:DR
First Name:MARIA FE
Middle Name:BELLEN
Last Name:VILLOSIS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:MARIA FE
Other - Middle Name:SANTOR
Other - Last Name:BELLEN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:1240 N MISSION RD
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90033-1019
Mailing Address - Country:US
Mailing Address - Phone:323-226-3406
Mailing Address - Fax:323-226-3440
Practice Address - Street 1:1240 N MISSION RD
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90033-1019
Practice Address - Country:US
Practice Address - Phone:323-226-3406
Practice Address - Fax:323-226-3440
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-04
Last Update Date:2021-10-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA89786208000000X, 2080N0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
No2080N0001XAllopathic & Osteopathic PhysiciansPediatricsNeonatal-Perinatal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAA89786AMedicare PIN