Most Relevant Information
Provider Data
| NPI Number: | 1003473943 |
| Provider Name: | JESSICA VILLAFRANCO |
| Entity Type: | Individual |
| Taxonomy Code: | 171M00000X |
| Specialty: | Case Manager/Care Coordinator |
| License Number: |
Most Important Dates
| Enumeration Date: | 05/27/2019 |
| Last Updated: | 05/27/2019 |
Provider Practice Location
323 N PRAIRIE AVE
INGLEWOOD
CA
903014502
Practice Location Phone/Fax
| Phone: | 3108462100 |
| Fax: | 3108462139 |
Provider Mailing Location
4760 SEPULVEDA BLVD
CULVER CITY
CA
902304820
Provider Mailing Phone/Fax
| Phone: | 3103906612 |
| Fax: | 3103985690 |