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NPI 1619534963

NPI 1619534963 : JOSIAH AARON VALK DO : SAN DIEGO, CA

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General NPI Number Information
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    NPI Number           |    1619534963
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    Entity Type          |    Individual 
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    Provider Name        |    JOSIAH AARON VALK DO
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    05/22/2019
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    Last Update Date     |    07/09/2025
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Provider Practice Location Address
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    Address Line         |    4445 EASTGATE MALL STE 105 
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    City                 |    SAN DIEGO
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    State                |    CA
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    Zip                  |    92121-1979
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    Country              |    US
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    Telephone            |    619-229-5018
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    5057 MISSION BLVD 
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    City                 |    SAN DIEGO
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    State                |    CA
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    Zip                  |    92109-1752
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    Country              |    US
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    Telephone            |    269-501-9929
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    Fax                  |    
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Authorized Official
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    Title or Position    |    
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    Name                 |        
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    Credential           |    
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    Telephone            |    
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    207X00000X
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    Taxonomy Name        |    Orthopaedic Surgery Physician
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    License Number       |    5151013492
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    License Number State |    MI
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Taxonomy #2
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    Taxonomy Code        |    207X00000X
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    Taxonomy Name        |    Orthopaedic Surgery Physician
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    License Number       |    5101026685
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    License Number State |    MI
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Taxonomy #3
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    Taxonomy Code        |    207X00000X
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    Taxonomy Name        |    Orthopaedic Surgery Physician
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    License Number       |    20A22266
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    License Number State |    CA
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