Healthcare Provider Details

I. General information

NPI: 1497214431
Provider Name (Legal Business Name): LUIS E VALLE DO
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/19/2019
Last Update Date: 11/24/2025
Certification Date: 11/24/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10800 PARAMOUNT BLVD STE 203
DOWNEY CA
90241-3317
US

IV. Provider business mailing address

10800 PARAMOUNT BLVD STE 203
DOWNEY CA
90241-3317
US

V. Phone/Fax

Practice location:
  • Phone: 562-869-1322
  • Fax: 562-662-4015
Mailing address:
  • Phone: 562-869-1322
  • Fax: 562-662-4015

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number19998
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number20A19998
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: