Individual provider · Type 1 NPI
Jose L. Villagomez, MD
General Practice Physician · Los Angeles, CA
NPI number
1699717462
Active
Practice location
12099 W Washington Blvd Ste 400
Los Angeles, CA 90066-2620
Fax (310) 398-5189
Other practice locations
- 12099 W Washington Blvd Ste 412, Los Angeles, CA 90066-2620 · (310) 398-6706
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| General Practice Physician Primary | 208D00000X | A61283 (CA) |
General Practice Physician: A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.
2 other providers at this address
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About NPI 1699717462
Jose L. Villagomez, MD's National Provider Identifier is 1699717462, issued on Jun 13, 2006. The primary taxonomy on file is General Practice Physician (208D00000X), and the practice location is in Los Angeles, CA. The record was last updated on Sep 11, 2025.