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NPI Code Detail

MEDICARE: JUANA E VALDEZ

MEDICARE: JUANA E VALDEZ
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
13336C0003XCommunity/Retail PharmacyPHY47170CA

General Provider Information

NPI Number : 1528283348
Entity Type Code : Organization
Provider Name (Legal Business Name) : JUANA E VALDEZ
Provider Business Mailing Address
First Line : 9910 LONG BEACH BLVD STE F
Second Line :
City : LYNWOOD
State : CA
Zip : 90262-1561
Country : US
Telephone Number : 323-249-8497
Fax Number : 323-249-0038
Provider Business Practice Location Address
First Line : 9910 LONG BEACH BLVD STE F
Second Line :
City : LYNWOOD
State : CA
Zip : 90262-1561
Country : US
Telephone Number : 323-249-8497
Fax Number : 323-249-0038
Authorized Official
Title or Position : OWNER
Name : MRS. JUANA E VALDEZ
Credential :
Telephone Number : 323-249-8497
Provider Enumeration Date : 04/16/2007
Last Update Date : 08/23/2023

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Directions to “JUANA E VALDEZ ” Practice Location

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