Healthcare Provider Details

I. General information

NPI: 1811806011
Provider Name (Legal Business Name): ALEAH MAE VALENZUELA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/03/2026
Last Update Date: 09/03/2026
Certification Date: 09/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

16940 HIGHWAY 14 STE C-J
MOJAVE CA
93501-1238
US

IV. Provider business mailing address

3337 HURON DR
ROSAMOND CA
93560-7608
US

V. Phone/Fax

Practice location:
  • Phone: 661-824-5020
  • Fax: 661-824-5026
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: