Healthcare Provider Details

I. General information

NPI: 1194579151
Provider Name (Legal Business Name): MARIA B VALENCIA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/16/2024
Last Update Date: 07/25/2024
Certification Date: 07/25/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

830 S DALE AVE
ANAHEIM CA
92804-4039
US

IV. Provider business mailing address

501 N CRESCENT WAY
ANAHEIM CA
92801-5401
US

V. Phone/Fax

Practice location:
  • Phone: 714-999-2161
  • Fax:
Mailing address:
  • Phone: 714-999-3511
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YS0200X
TaxonomySchool Counselor
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: