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NPI Code Detail

MEDICARE: JASMINE VALENCIA

MEDICARE: JASMINE VALENCIA
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
11041C0700XClinical Social WorkerCA

General Provider Information

NPI Number : 1780568527
Entity Type Code : Individual
Provider Name (Legal Business Name) : JASMINE VALENCIA
Provider Business Mailing Address
First Line : 572 N ARROWHEAD AVE STE 100
Second Line :
City : SAN BERNARDINO
State : CA
Zip : 92401-1217
Country : US
Telephone Number : 909-266-2700
Fax Number :
Provider Business Practice Location Address
First Line : 572 N ARROWHEAD AVE STE 100
Second Line :
City : SAN BERNARDINO
State : CA
Zip : 92401-1217
Country : US
Telephone Number : 909-266-2700
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/04/2025
Last Update Date : 05/28/2026

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Directions to “ JASMINE VALENCIA ” Practice Location

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