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1801381132 NPI number — VALENCIA YOUKHANNA B.A.

NPI Number: 1801381132
Health Care Provider/Practitioner: VALENCIA YOUKHANNA B.A.

Information about “1801381132” NPI (VALENCIA YOUKHANNA B.A.) exists in 1801381132 in HTML format HTML  |  1801381132 in plain Text format TXT  |  1801381132 in PDF (Portable Document Format) PDF  |  1801381132 in an XML format XML  formats.

NPI Number : 1801381132 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1801381132",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "YOUKHANNA",
    "FirstName": "VALENCIA",
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "B.A.",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "1525 CEDARHILL DR",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "RIVERSIDE",
    "MailingAddressStateName": "CA",
    "MailingAddressPostalCode": "92507-5973",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "619-672-1465",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "2499 E LAKESHORE DR",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "LAKE ELSINORE",
    "PracticeLocationAddressStateName": "CA",
    "PracticeLocationAddressPostalCode": "92530-4411",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "951-471-4200",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "06/28/2018",
    "LastUpdateDate": "12/16/2025",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": "07/07/2020",
    "NPIReactivationDate": "12/16/2025",
    "GenderCode": "F",
    "Gender": "Female",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "103T00000X",
        "TaxonomyName": "Psychologist",
        "LicenseNumber": null,
        "LicenseNumberStateCode": null,
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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