Healthcare Provider Details

I. General information

NPI: 1568307973
Provider Name (Legal Business Name): VALERIE EARNESTINE YUVIENCO PENARUBIA DDS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/22/2026
Last Update Date: 04/22/2026
Certification Date: 04/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11092 ANDERSON ST
LOMA LINDA CA
92350-1706
US

IV. Provider business mailing address

1604 ORANGE AVE APT 302
REDLANDS CA
92373-5323
US

V. Phone/Fax

Practice location:
  • Phone: 909-558-4689
  • Fax:
Mailing address:
  • Phone: 626-625-1597
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License Number11530
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: