Provider Demographics
NPI:1851503239
Name:VILLARREAL, STEVE JAMES (MD)
Entity Type:Individual
Prefix:DR
First Name:STEVE
Middle Name:JAMES
Last Name:VILLARREAL
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:3525 LOMITA BLVD
Mailing Address - Street 2:#103
Mailing Address - City:TORRANCE
Mailing Address - State:CA
Mailing Address - Zip Code:90505-5024
Mailing Address - Country:US
Mailing Address - Phone:310-517-0085
Mailing Address - Fax:310-517-9149
Practice Address - Street 1:3525 LOMITA BLVD
Practice Address - Street 2:#103
Practice Address - City:TORRANCE
Practice Address - State:CA
Practice Address - Zip Code:90505-5024
Practice Address - Country:US
Practice Address - Phone:310-517-0085
Practice Address - Fax:310-517-9149
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-05
Last Update Date:2007-07-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CAG57663207Q00000X, 209800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Not Answered209800000XAllopathic & Osteopathic PhysiciansLegal Medicine