Healthcare Provider Details

I. General information

NPI: 1609697440
Provider Name (Legal Business Name): YURI PAOLA CUBIDES VALERO
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/23/2024
Last Update Date: 06/08/2026
Certification Date: 06/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1650 S AMPHLETT BLVD
SAN MATEO CA
94402-2517
US

IV. Provider business mailing address

1359 EDGEWOOD RD
EMERALD HILLS CA
94062-2730
US

V. Phone/Fax

Practice location:
  • Phone: 650-581-1542
  • Fax:
Mailing address:
  • Phone: 707-710-0266
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TR0400X
TaxonomyRehabilitation Psychologist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: