Individual provider · Type 1 NPI

Samuel Lisama Villapando

Student in an Organized Health Care Education/Training Program · Rancho Cucamonga, CA

NPI number 1003733510 Active

Practice location

10850 Arrow Rte
Rancho Cucamonga, CA 91730-4833

Mailing address

45571 Basswood Ct
Temecula, CA 92592-2861

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000X53970 (CA)

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1003733510

Samuel Lisama Villapando's National Provider Identifier is 1003733510, issued on Jul 4, 2026. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Rancho Cucamonga, CA. The record was last updated on Jul 4, 2026.