Provider Demographics
NPI:1821219361
Name:VILLEGAS, DANIEL PADILLA
Entity Type:Individual
Prefix:MR
First Name:DANIEL
Middle Name:PADILLA
Last Name:VILLEGAS
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 2706
Mailing Address - Street 2:
Mailing Address - City:SALINAS
Mailing Address - State:CA
Mailing Address - Zip Code:93902-2706
Mailing Address - Country:US
Mailing Address - Phone:831-755-5323
Mailing Address - Fax:831-757-5230
Practice Address - Street 1:222 MERCED ST
Practice Address - Street 2:
Practice Address - City:SALINAS
Practice Address - State:CA
Practice Address - Zip Code:93901-3708
Practice Address - Country:US
Practice Address - Phone:831-755-5323
Practice Address - Fax:831-757-5230
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-01
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker