Provider Demographics
NPI:1609074079
Name:VILLAPANIA, ROBERT J (DC)
Entity Type:Individual
Prefix:
First Name:ROBERT
Middle Name:J
Last Name:VILLAPANIA
Suffix:
Gender:M
Credentials:DC
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Mailing Address - Street 1:7932 SUMMERLIN PL
Mailing Address - Street 2:
Mailing Address - City:RANCHO CUCAMONGA
Mailing Address - State:CA
Mailing Address - Zip Code:91730-2419
Mailing Address - Country:US
Mailing Address - Phone:909-527-3532
Mailing Address - Fax:909-244-0165
Practice Address - Street 1:273 E SOUTH ST
Practice Address - Street 2:
Practice Address - City:LONG BEACH
Practice Address - State:CA
Practice Address - Zip Code:90805-4631
Practice Address - Country:US
Practice Address - Phone:562-728-9600
Practice Address - Fax:562-422-9011
Is Sole Proprietor?:Yes
Enumeration Date:2007-07-06
Last Update Date:2008-10-31
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CA19640111NI0013X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111NI0013XChiropractic ProvidersChiropractorIndependent Medical Examiner