Healthcare Provider Details

I. General information

NPI: 1386561322
Provider Name (Legal Business Name): MRS. TERESA VALENCIA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/01/2026
Last Update Date: 07/01/2026
Certification Date: 07/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1375 E ONTARIO AVE
CORONA CA
92881-6604
US

IV. Provider business mailing address

941 SAPPHIRE LN
CORONA CA
92882-2945
US

V. Phone/Fax

Practice location:
  • Phone: 951-256-2790
  • Fax:
Mailing address:
  • Phone: 562-321-3242
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code237700000X
TaxonomyHearing Instrument Specialist
License NumberHA8283
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: