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General NPI Number Information
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NPI Number | 1699642199
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Entity Type | Organization
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Legal Business Name | LUIS VALLE DO INC
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Dates
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Enumeration Date | 10/20/2025
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Last Update Date | 11/24/2025
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Provider Practice Location Address
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Address Line | 10800 PARAMOUNT BLVD STE 203
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City | DOWNEY
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State | CA
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Zip | 90241-3317
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Country | US
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Telephone | 562-869-1322
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Fax | 562-869-1322
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Provider Business Mailing Address
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Address Line | 10800 PARAMOUNT BLVD STE 203
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City | DOWNEY
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State | CA
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Zip | 90241-3317
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Country | US
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Telephone | 562-869-1322
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Fax | 562-662-4015
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Authorized Official
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Title or Position | CEO
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Name | LUIS E VALLE
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Credential | DO
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Telephone | 562-869-1322
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number |
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License Number State |
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