Healthcare Provider Details

I. General information

NPI: 1699642199
Provider Name (Legal Business Name): LUIS VALLE DO INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/20/2025
Last Update Date: 03/10/2026
Certification Date: 03/10/2026
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 Code207QG0300X
TaxonomyGeriatric Medicine (Family Medicine) Physician
License Number
License Number StateNULL

VIII. Authorized Official

Name: LUIS E VALLE
Title or Position: CEO
Credential: DO
Phone: 562-869-1322