Healthcare Provider Details

I. General information

NPI: 1497760151
Provider Name (Legal Business Name): EVELYN YANIT VALENTON M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/30/2006
Last Update Date: 04/03/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1701 SANTA ANITA AVE
SOUTH EL MONTE CA
91733-3411
US

IV. Provider business mailing address

PO BOX 60790
PASADENA CA
91116-6790
US

V. Phone/Fax

Practice location:
  • Phone: 626-579-7777
  • Fax: 626-350-7986
Mailing address:
  • Phone: 626-795-6596
  • Fax: 626-795-8247

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License NumberA35349
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: