Healthcare Provider Details

I. General information

NPI: 1891107553
Provider Name (Legal Business Name): KATHLEEN VALENTON, M.D., INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/28/2014
Last Update Date: 03/26/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

421 N RODEO DR PENTHOUSE NO. ONE
BEVERLY HILLS CA
90210-4500
US

IV. Provider business mailing address

421 N RODEO DR PENTHOUSE 1
BEVERLY HILLS CA
90210-4500
US

V. Phone/Fax

Practice location:
  • Phone: 310-432-6640
  • Fax: 310-432-6647
Mailing address:
  • Phone: 310-432-6640
  • Fax: 310-432-6647

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207VX0000X
TaxonomyObstetrics Physician
License NumberA107812
License Number StateCA

VIII. Authorized Official

Name: DR. KATHLEEN VALENTON
Title or Position: OWNER
Credential: M.D.
Phone: 310-432-6640