MEDICARE: GFV GROUP INC

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	1223G0001X	General Practice Dentistry	23265	CA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	B2326501	OTHER	CA	MEDICAL

General Provider Information

NPI Number	:	1134314495
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	GFV GROUP INC

Provider Business Mailing Address
First Line	:	1415 1/2 N VERMONT AVE
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90027-6023
Country	:	US
Telephone Number	:	323-913-4420
Fax Number	:

Provider Business Practice Location Address
First Line	:	1415 1/2 N VERMONT AVE
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90027-6023
Country	:	US
Telephone Number	:	323-913-4420
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	DR. GLORIA DAYOAN VALDE
Credential	:	DDS
Telephone Number	:	323-913-4420

Provider Enumeration Date	:	09/10/2007
Last Update Date	:	09/10/2007

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Directions to “GFV GROUP INC ” Practice Location

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