Healthcare Provider Details

I. General information

NPI: 1952210288
Provider Name (Legal Business Name): PIERRE GIORGIO VALERIO AGNP-C
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/02/2026
Last Update Date: 09/02/2026
Certification Date: 09/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10200 SEPULVEDA BLVD STE 140
MISSION HILLS CA
91345-3323
US

IV. Provider business mailing address

20601 W WOOD ROSE CT
PORTER RANCH CA
91326-4970
US

V. Phone/Fax

Practice location:
  • Phone: 818-924-7041
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP2300X
TaxonomyPrimary Care Nurse Practitioner
License Number95029807
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: