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Heather Renee Villani

Emergency Medicine

Allopathic & Osteopathic Physicians

775 Midway St, La Jolla, CA 92037-7637

PECOS Enrollment

This provider is enrolled in PECOS as HEATHER VILLANI.

Based on the most recent information from CMS, provider Heather Renee Villani is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records yesterday at 11:51 AM.

Profile Details

Provider ID
1124204383
Provider Type
Individual
Full Name
Villani, Heather Renee
Title
Dr.
Credential
M.D.

Gender
Female
Sole Proprietor
No
Enumeration Date
1/17/2008
Last Updated
9/23/2010

Contact Information

Practice Location

775 Midway St, La Jolla, CA 92037-7637

(858) 228-6364

Unlisted Fax

Mailing Location

775 Midway St, La Jolla, CA 92037-7637

(858) 228-6364

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 207P00000X Primary	Description Emergency Medicine Allopathic & Osteopathic Physicians	License A98341 California

Heather Renee Villani

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

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