Healthcare Provider Details

I. General information

NPI: 1205754157
Provider Name (Legal Business Name): NATTALY VALENZUELA-MEZA, LCSW & ASSOCIATES PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/08/2026
Last Update Date: 07/08/2026
Certification Date: 07/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7365 CARNELIAN ST STE 231
RANCHO CUCAMONGA CA
91730-1136
US

IV. Provider business mailing address

7365 CARNELIAN ST STE 231
RANCHO CUCAMONGA CA
91730-1136
US

V. Phone/Fax

Practice location:
  • Phone: 626-430-0177
  • Fax:
Mailing address:
  • Phone: 626-430-0177
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State

VIII. Authorized Official

Name: NATTALY VALENZUELA-MEZA
Title or Position: DIRECTOR
Credential: LCSW
Phone: 626-430-0177