Healthcare Provider Details

I. General information

NPI: 1982231577
Provider Name (Legal Business Name): VALKYRIE PHARMACEUTICS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/24/2020
Last Update Date: 07/03/2023
Certification Date: 07/03/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2080 CENTURY PARK E STE 803
LOS ANGELES CA
90067-2011
US

IV. Provider business mailing address

10000 SANTA MONICA BLVD UNIT 2906
LOS ANGELES CA
90067-7028
US

V. Phone/Fax

Practice location:
  • Phone: 424-535-1874
  • Fax: 951-380-8749
Mailing address:
  • Phone: 310-720-2613
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RH0003X
TaxonomyHematology & Oncology Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QM1300X
TaxonomyMulti-Specialty Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: DAVID BERZ
Title or Position: OWNER
Credential: MD
Phone: 310-720-2613