Healthcare Provider Details

I. General information

NPI: 1386575686
Provider Name (Legal Business Name): ARIANA VALENCIA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/26/2026
Last Update Date: 05/26/2026
Certification Date: 05/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

14129 BUCHER AVE
SYLMAR CA
91342-1442
US

IV. Provider business mailing address

14129 BUCHER AVE
SYLMAR CA
91342-1442
US

V. Phone/Fax

Practice location:
  • Phone: 818-290-5308
  • Fax:
Mailing address:
  • Phone: 818-290-5308
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code164X00000X
TaxonomyLicensed Vocational Nurse
License Number758351
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: