Healthcare Provider Details

I. General information

NPI: 1639015092
Provider Name (Legal Business Name): SAMUEL FRANCISCO VALENCIA MENA RESEARCH
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/28/2026
Last Update Date: 04/28/2026
Certification Date: 04/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2331 ATLAS PEAK RD
NAPA CA
94558-9665
US

IV. Provider business mailing address

2331 ATLAS PEAK RD
NAPA CA
94558-9665
US

V. Phone/Fax

Practice location:
  • Phone: 707-307-9901
  • Fax:
Mailing address:
  • Phone: 707-307-9901
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code174H00000X
TaxonomyHealth Educator
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: