Healthcare Provider Details

I. General information

NPI: 1003740747
Provider Name (Legal Business Name): VALERIA RUVALCABA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/09/2026
Last Update Date: 06/09/2026
Certification Date: 06/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

910 CAMPISI WAY STE 1A
CAMPBELL CA
95008-2350
US

IV. Provider business mailing address

910 CAMPISI WAY STE 1A
CAMPBELL CA
95008-2350
US

V. Phone/Fax

Practice location:
  • Phone: 707-344-1771
  • Fax: 707-773-7318
Mailing address:
  • Phone: 707-344-1771
  • Fax: 707-773-7318

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number41447
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: