Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
NELSON MANRIQUE VILLALTA, OPTICIAN
Active Sole ProprietorNELSON MANRIQUE VILLALTA, OPTICIAN is a Optician, Dispensing healthcare provider located in HUNTINGTON PARK, California. NPI 1639710296 is currently active in the NPPES registry. Verify at CMS.
Optician, Dispensing · HUNTINGTON PARK, CA
Registration Details
- NPI Number
- 1639710296
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Oct 4, 2019 (6.8181919981359 yrs)
- Last Updated
- Oct 4, 2019
- Sole Proprietor
- Yes
Practice Information
- Address
-
6529 SEVILLE AVEHUNTINGTON PARK, CA, 902554208Browse CA providers · Browse ZIP 90255
- Phone
- 3235825770
- Primary Specialty
-
Optician, Dispensing
156FX1800X
Other Optician, Dispensing Providers in HUNTINGTON PARK, CA
| Name | Credential | NPI |
|---|---|---|
| GEORGE VITALE | — | 1720299035 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.