Healthcare Provider Details

I. General information

NPI: 1922670371
Provider Name (Legal Business Name): JOSE EDUARDO VALENCIA TORRES MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/14/2021
Last Update Date: 07/03/2024
Certification Date: 07/03/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2059 HILLMAN ST
TULARE CA
93274-1609
US

IV. Provider business mailing address

9300 VALLEY CHILDRENS PL # SC05
MADERA CA
93636-8761
US

V. Phone/Fax

Practice location:
  • Phone: 559-605-0090
  • Fax: 559-605-0092
Mailing address:
  • Phone: 559-353-5700
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberA192320
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: