MR. ROY VILLENA TATLONGHARI RN-CANP NPI 1053636720

NPI Information

  • NPI: 1053636720
  • Provider Name: MR. ROY VILLENA TATLONGHARI, RN-CANP
  • Classification: Nurse Practitioner - 363LA2200X
  • Specialization: Adult Health
  • Entity Type: Individual
  • Address: 4650 SUNSET BLVD
    MS 125
    LOS ANGELES, CA
    ZIP 90027
  • Phone: (323) 361-2533

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NPI Details

MR. Roy Villena Tatlonghari, RN-CANP is an adult health nurse practitioner in Los Angeles, CA. MR. Roy Villena Tatlonghari, RN-CANP NPI is 1053636720. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

4650 SUNSET BLVD
MS 125
LOS ANGELES, CA
ZIP 90027
Phone: (323) 361-2533
Fax: (323) 361-8095

The enumeration date for this NPI number is 4/6/2010 and was last updated on 4/6/2010.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LX0106XNurse PractitionerOccupational HealthLIC#604372CALIFORNIANo
2363LA2200XNurse PractitionerAdult HealthLIC#604372CALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
115203OTHERCALIFORNIAFURNISHING LICENSE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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