1396125035 NPI number — DR. GINGER VILLAREAL ARMAS PHD

Table of content: DR. GINGER VILLAREAL ARMAS PHD (NPI 1396125035)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1396125035 NPI number — DR. GINGER VILLAREAL ARMAS PHD

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
ARMAS
Provider First Name:
GINGER
Provider Middle Name:
VILLAREAL
Provider Name Prefix Text:
DR.
Provider Name Suffix Text:
Provider Credential Text:
PHD
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1396125035
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
09/12/2015
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
9500 GILMAN DR DEPT 304
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
LA JOLLA
Provider Business Mailing Address State Name:
CA
Provider Business Mailing Address Postal Code:
92093-0304
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
954-816-9136
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
9500 GILMAN DR
Provider Second Line Business Practice Location Address:
COUNSELING AND PSYCHOLOGICAL SERVICES (CAPS)
Provider Business Practice Location Address City Name:
LA JOLLA
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
92093-0304
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
858-534-3755
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
06/08/2015

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 101Y00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)