MEDICARE: JUANA E VALDEZ

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	3336C0003X	Community/Retail Pharmacy

General Provider Information

NPI Number	:	1639052988
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	JUANA E VALDEZ

Provider Business Mailing Address
First Line	:	13315 SAN ANTONIO DR
Second Line	:
City	:	NORWALK
State	:	CA
Zip	:	90650-2970
Country	:	US
Telephone Number	:	562-219-7464
Fax Number	:	562-366-5222

Provider Business Practice Location Address
First Line	:	13315 SAN ANTONIO DR
Second Line	:
City	:	NORWALK
State	:	CA
Zip	:	90650-2970
Country	:	US
Telephone Number	:	562-219-7464
Fax Number	:	323-249-0038

Authorized Official
Title or Position	:	CEO
Name	:	JUANA E VALDEZ
Credential	:
Telephone Number	:	323-249-8497

Provider Enumeration Date	:	07/25/2025
Last Update Date	:	02/02/2026

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Directions to “JUANA E VALDEZ ” Practice Location

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