MEDICARE: ANNIE JUN VALEZA LOPEZ PCA

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	3747P1801X	Personal Care Attendant

General Provider Information

NPI Number	:	1265930945
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ANNIE JUN VALEZA LOPEZ PCA

Provider Business Mailing Address
First Line	:	3813 GINGER CREEK ST
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89108-5240
Country	:	US
Telephone Number	:	702-417-5667
Fax Number	:

Provider Business Practice Location Address
First Line	:	3813 GINGER CREEK ST
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89108-5240
Country	:	US
Telephone Number	:	702-417-5667
Fax Number	:

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

Provider Enumeration Date	:	01/26/2018
Last Update Date	:	01/26/2018

Similar Medicare Providers

1083643993 — REHAB MEDICAL OF LAS VEGAS, INC.
Practice Location Address:

4780 W HARMON AVE , SUITE 2
LAS VEGAS, NV
89103-5240

Practice Phone: 702-248-6847
Practice Fax:

1841215266 — DR. STEVEN JULIUS LISSAU MD
Practice Location Address:

5240 S EASTERN AVE
LAS VEGAS, NV
89119-2306

Practice Phone: 702-480-4006
Practice Fax: 702-736-8889

1477749356 — BEST DIAGNOSTIC MEDICAL IMAGING CENTER
Practice Location Address:

5240 S EASTERN AVE , SUITE A
LAS VEGAS, NV
89119-2306

Practice Phone: 702-736-0049
Practice Fax: 702-736-0095

1457636276 — DOLORES RAYMUNDO
Practice Location Address:

4018 E BALTIMORE AVE
LAS VEGAS, NV
89104-5240

Practice Phone: 702-432-9117
Practice Fax:

1275979379 — TERRI ANDERSON BROOKS
Practice Location Address:

6861 PHILIPPE ALLEN AVE
LAS VEGAS, NV
89110-5240

Practice Phone: 702-449-6449
Practice Fax:

1023427390 — TRIPLE C COUNSELING CENTER
Practice Location Address:

6861 PHILIPPE ALLEN AVE
LAS VEGAS, NV
89110-5240

Practice Phone: 702-449-6449
Practice Fax:

Directions to “ ANNIE JUN VALEZA LOPEZ PCA” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.