Healthcare Provider Details

I. General information

NPI: 1568354827
Provider Name (Legal Business Name): ANDREA BERENISE VALADEZ
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/18/2025
Last Update Date: 07/27/2026
Certification Date: 07/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11015 S OSAGE AVE
INGLEWOOD CA
90304-2404
US

IV. Provider business mailing address

7129 YUMA WAY
BAKERSFIELD CA
93308-6417
US

V. Phone/Fax

Practice location:
  • Phone: 424-245-9232
  • Fax:
Mailing address:
  • Phone: 424-245-9232
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code374J00000X
TaxonomyDoula
License Number
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: