Healthcare Provider Details

I. General information

NPI: 1376321976
Provider Name (Legal Business Name): VALDEZ PSYCHIATRIC SERVICES INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/15/2023
Last Update Date: 09/15/2023
Certification Date: 09/14/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2776 PACIFIC AVE
LONG BEACH CA
90806-2613
US

IV. Provider business mailing address

1000 VIA NOGALES
PALOS VERDES ESTATES CA
90274-1624
US

V. Phone/Fax

Practice location:
  • Phone: 562-997-2000
  • Fax:
Mailing address:
  • Phone: 424-400-7748
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. JUDEN VALDEZ
Title or Position: PRESIDENT
Credential: MD
Phone: 424-400-7748