MEDICARE: CLOWEE LYKA VALDEZ BONIFACIO

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	225400000X	Rehabilitation Practitioner		CA

General Provider Information

NPI Number	:	1477347474
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CLOWEE LYKA VALDEZ BONIFACIO

Provider Business Mailing Address
First Line	:	2832 SAND POINT DR
Second Line	:
City	:	SAN JOSE
State	:	CA
Zip	:	95148-2920
Country	:	US
Telephone Number	:	408-912-6917
Fax Number	:

Provider Business Practice Location Address
First Line	:	2832 SAND POINT DR
Second Line	:
City	:	SAN JOSE
State	:	CA
Zip	:	95148-2920
Country	:	US
Telephone Number	:	408-912-6917
Fax Number	:

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

Provider Enumeration Date	:	04/07/2025
Last Update Date	:	09/15/2025

Similar Medicare Providers

1881914000 — GRUPO MEDICO POLICLINICA SAN PEDRO MEDICARE ADVANTAGE
Practice Location Address:

211 CALLE MORSE
ARROYO, PR
00714-2350

Practice Phone: 787-839-3980
Practice Fax: 787-271-2515

1235453218 — DORIT GERSH RN
Practice Location Address:

2920 COTTLE AVE
SAN JOSE, CA
95125-4114

Practice Phone: 650-921-1023
Practice Fax:

1184600165 — KIM M ROSS M.D.
Practice Location Address:

2611 N MAIN AVE
SAN ANTONIO, TX
78212-2920

Practice Phone: 210-225-2769
Practice Fax: 210-225-7576

1588686117 — DR. KENNETH KARAMYAN D.D.S.
Practice Location Address:

2920 LYON ST
SAN FRANCISCO, CA
94123-3226

Practice Phone: 415-737-0430
Practice Fax:

1043328834 — KENNETH EARL WRIGHT PAC
Practice Location Address:

2611 N MAIN AVE
SAN ANTONIO, TX
78212-2920

Practice Phone: 210-225-2769
Practice Fax:

1952408643 — HOUSTON SPEECH, LANGUAGE & LEARNING, INC
Practice Location Address:

4265 SAN FELIPE ST , SUITE 1100
HOUSTON, TX
77027-2920

Practice Phone: 713-968-9820
Practice Fax: 713-968-9821

Directions to “ CLOWEE LYKA VALDEZ BONIFACIO ” 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 © 2007-2026 (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.