Healthcare Provider Details

I. General information

NPI: 1871236802
Provider Name (Legal Business Name): VALENTINA GOMEZ ARISTIZABAL DO
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/18/2022
Last Update Date: 08/14/2025
Certification Date: 08/14/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1917 S CRISMON RD
MESA AZ
85209-6216
US

IV. Provider business mailing address

3753 E NOLAN DR
CHANDLER AZ
85249-4997
US

V. Phone/Fax

Practice location:
  • Phone: 480-610-7100
  • Fax:
Mailing address:
  • Phone: 952-239-4244
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number StateIA
# 2
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberR-12654
License Number StateIA
# 3
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number011633
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: