Provider Demographics
NPI:1376039511
Name:VILLALBA, ADRIAN VENTURA (DC)
Entity Type:Individual
Prefix:DR
First Name:ADRIAN
Middle Name:VENTURA
Last Name:VILLALBA
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2920 WEBSTER ST
Mailing Address - Street 2:
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94123-4006
Mailing Address - Country:US
Mailing Address - Phone:415-563-4424
Mailing Address - Fax:
Practice Address - Street 1:2920 WEBSTER ST
Practice Address - Street 2:
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94123-4006
Practice Address - Country:US
Practice Address - Phone:415-563-4424
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-07-10
Last Update Date:2018-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA34144111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor