Healthcare Provider Details

I. General information

NPI: 1225952898
Provider Name (Legal Business Name): ROSELYN VALDEZ
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

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

III. Provider practice location address

11956 RIALTO ST
SUN VALLEY CA
91352-3037
US

IV. Provider business mailing address

11956 RIALTO ST
SUN VALLEY CA
91352-3037
US

V. Phone/Fax

Practice location:
  • Phone: 818-309-0625
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: