Healthcare Provider Details

I. General information

NPI: 1598685604
Provider Name (Legal Business Name): VAL BELENIUC
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/18/2026
Last Update Date: 07/18/2026
Certification Date: 07/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

24750 DELPHINIUM AVE
MORENO VALLEY CA
92553-5812
US

IV. Provider business mailing address

7353 ELLENA W UNIT 189
RANCHO CUCAMONGA CA
91730-8382
US

V. Phone/Fax

Practice location:
  • Phone: 951-571-4200
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number20884
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: