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NPI Code Detail

MEDICARE: ITZAYANA VALDEZ

MEDICARE: ITZAYANA 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
1363AM0700XMedical Physician AssistantCMAC-6498CA

General Provider Information

NPI Number : 1598645384
Entity Type Code : Individual
Provider Name (Legal Business Name) : ITZAYANA VALDEZ
Provider Business Mailing Address
First Line : 82556 CREST AVE
Second Line :
City : INDIO
State : CA
Zip : 92201-2404
Country : US
Telephone Number : 760-408-7860
Fax Number :
Provider Business Practice Location Address
First Line : 44359 PALM ST
Second Line :
City : INDIO
State : CA
Zip : 92201-3116
Country : US
Telephone Number : 760-342-6616
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/03/2025
Last Update Date : 01/14/2026

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Directions to “ ITZAYANA VALDEZ ” Practice Location

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