MEDICARE: ARLYN VALENCIA MD PC

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	2084N0400X	Neurology Physician		NV

General Provider Information

NPI Number	:	1760733414
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ARLYN VALENCIA MD PC

Provider Business Mailing Address
First Line	:	7500 W LAKE MEAD BLVD # 9-467
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89128-0297
Country	:	US
Telephone Number	:	702-644-2007
Fax Number	:	702-644-0905

Provider Business Practice Location Address
First Line	:	7500 W LAKE MEAD BLVD # 9-467
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89128-0297
Country	:	US
Telephone Number	:	702-644-2007
Fax Number	:	702-644-0905

Authorized Official
Title or Position	:	PRESIDENT
Name	:	ARLYN M VALENCIA
Credential	:	MD
Telephone Number	:	702-644-2007

Provider Enumeration Date	:	09/20/2012
Last Update Date	:	05/15/2013

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