MEDICARE: DR. JASON VALERIO MD

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	2084S0012X	Sleep Medicine (Psychiatry & Neurology) Physician	A126539	CA

General Provider Information

NPI Number	:	1316379720
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JASON VALERIO MD

Provider Business Mailing Address
First Line	:	1450 SAN ANTONIO AVE
Second Line	:	APT 3
City	:	MENLO PARK
State	:	CA
Zip	:	94025-3197
Country	:	US
Telephone Number	:	650-561-3613
Fax Number	:

Provider Business Practice Location Address
First Line	:	1450 SAN ANTONIO AVE
Second Line	:	APT 3
City	:	MENLO PARK
State	:	CA
Zip	:	94025-3197
Country	:	US
Telephone Number	:	650-561-3613
Fax Number	:

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

Provider Enumeration Date	:	08/07/2013
Last Update Date	:	08/07/2013

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