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NPI Code Detail

MEDICARE: JOSEPH VALENZUELA

MEDICARE: JOSEPH VALENZUELA
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
1101YA0400XAddiction (Substance Use Disorder) Counselor

General Provider Information

NPI Number : 1922316934
Entity Type Code : Individual
Provider Name (Legal Business Name) : JOSEPH VALENZUELA
Provider Business Mailing Address
First Line : 4928 LANKERSHIM BLVD
Second Line :
City : NORTH HOLLYWOOD
State : CA
Zip : 91601-4443
Country : US
Telephone Number : 818-763-7919
Fax Number :
Provider Business Practice Location Address
First Line : 4928 LANKERSHIM BLVD
Second Line :
City : NORTH HOLLYWOOD
State : CA
Zip : 91601-4443
Country : US
Telephone Number : 818-763-7919
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/24/2010
Last Update Date : 09/24/2010

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Directions to “ JOSEPH VALENZUELA ” Practice Location

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