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
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:10918 HESPERIA RD STE B
Mailing Address - Street 2:
Mailing Address - City:HESPERIA
Mailing Address - State:CA
Mailing Address - Zip Code:92345-2151
Mailing Address - Country:US
Mailing Address - Phone:760-596-0347
Mailing Address - Fax:760-513-9743
Practice Address - Street 1:10918 HESPERIA RD STE B
Practice Address - Street 2:
Practice Address - City:HESPERIA
Practice Address - State:CA
Practice Address - Zip Code:92345-2151
Practice Address - Country:US
Practice Address - Phone:760-596-0347
Practice Address - Fax:760-513-9743
Is Sole Proprietor?:Yes
Enumeration Date:2007-07-06
Last Update Date:2024-06-12
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CA19640111NI0013X, 111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
No111NI0013XChiropractic ProvidersChiropractorIndependent Medical Examiner