Eileen Villanueva Johnson
Eileen Villanueva Johnson is a Physical Therapist in Private Practice in Los Angeles, California. Qualified in 2010, 16 years ago. Practices with USC Care Medical Group Inc, a 1,371-clinician group and accepts Medicare assignment. Licensed in California.
- Years since qualifying
- 16
- Licensed in
- CA
- In the registry since
- 2014
Practice location Address checks out
1640 Marengo St # ST102Los Angeles, CA 90033-1036
Phone: (323) 865-1200
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Physical Therapist (primary) | Taxonomy 225100000X · Licence 40692 (CA) |
|---|
Record details
| NPI number | 1770990558 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | July 14, 2014 |
| Last updated in NPPES | November 27, 2023 |
| Certification date | September 17, 2020 |
Medicare enrollment
| Medicare specialty | PHYSICAL THERAPIST IN PRIVATE PRACTICE |
|---|---|
| Medical school | OTHER |
| Graduated | 2010 (16 years in practice) |
| Group practice | Usc Care Medical Group Inc — 1371 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Practice locations | 6 on file with Medicare |
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