MEDICARE: VALERIE ANN TUTSON 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
1	2084P0800X	Psychiatry Physician	C51402	CA

General Provider Information

NPI Number	:	1518054071
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	VALERIE ANN TUTSON M.D.

Provider Business Mailing Address
First Line	:	6330 SAN VICENTE BLVD STE 520
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90048-5455
Country	:	US
Telephone Number	:	310-482-1846
Fax Number	:

Provider Business Practice Location Address
First Line	:	6330 SAN VICENTE BLVD STE 520
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90048-5455
Country	:	US
Telephone Number	:	310-482-1846
Fax Number	:	737-309-5138

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

Provider Enumeration Date	:	10/06/2006
Last Update Date	:	06/26/2025

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