Healthcare Provider Details

I. General information

NPI: 1912816398
Provider Name (Legal Business Name): MCKENNA MARIE VALENCIA
Entity Type: Individual
Gender: Female
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

25185 MADISON AVE STE A
MURRIETA CA
92562-8977
US

IV. Provider business mailing address

25185 MADISON AVE STE A
MURRIETA CA
92562-8977
US

V. Phone/Fax

Practice location:
  • Phone: 951-251-4231
  • Fax:
Mailing address:
  • Phone: 951-251-4231
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code374J00000X
TaxonomyDoula
License Number
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: