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NPI Code Detail

MEDICARE: EVELYN YANIT VALENTON M.D.

MEDICARE: EVELYN YANIT VALENTON M.D.
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
1207L00000XAnesthesiology PhysicianA35349CA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
100A353490OTHERCABLUE SHIELD
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1497760151
Entity Type Code : Individual
Provider Name (Legal Business Name) : EVELYN YANIT VALENTON M.D.
Provider Business Mailing Address
First Line : PO BOX 60790
Second Line :
City : PASADENA
State : CA
Zip : 91116-6790
Country : US
Telephone Number : 626-795-6596
Fax Number : 626-795-8247
Provider Business Practice Location Address
First Line : 1701 SANTA ANITA AVE
Second Line :
City : SOUTH EL MONTE
State : CA
Zip : 91733-3411
Country : US
Telephone Number : 626-579-7777
Fax Number : 626-350-7986
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/30/2006
Last Update Date : 04/03/2015

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