MEDICARE: CYNTHIA VALENZUELA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1041C0700X	Clinical Social Worker	LCSW95014	CA

General Provider Information

NPI Number	:	1124372545
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CYNTHIA VALENZUELA

Provider Business Mailing Address
First Line	:	28 GEARY ST STE
Second Line	:
City	:	SAN FRANCISCO
State	:	CA
Zip	:	94108-5700
Country	:	US
Telephone Number	:	831-235-3171
Fax Number	:

Provider Business Practice Location Address
First Line	:	78 SUNNYSLOPE AVE
Second Line	:
City	:	SAN JOSE
State	:	CA
Zip	:	95127-2445
Country	:	US
Telephone Number	:	831-235-3171
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/07/2012
Last Update Date	:	05/05/2026

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Directions to “ CYNTHIA VALENZUELA ” Practice Location

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