Simon R. Valencia Md, Inc

LBN: Simon R. Valencia Md, Inc
Simon R. Valencia Md, Inc is an health care organization with primary practice located at 1234 N Vermont Ave , Los Angeles CA 90029. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism, which is considered as the primary health care specialty. Simon R. Valencia Md, Inc can be contacted via phone (323) 660-5624, or through Valencia, Simon Rudolfo via phone (323) 660-5624.

Contact Information

Primary practice address
1234 N Vermont Ave Los Angeles CA 90029
Phone: (323) 660-5624
Fax: (330) 660-5626
Website:
Map and Directions
Authorized official contact:
Name: Valencia, Simon Rudolfo Doctor of Medicine (MD)
Phone: (323) 660-5624

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism 207RE0101X A29972 California

Profile Details

NPI number 1396880985
LBN Legal business name Simon R. Valencia Md, Inc
DBA Doing business as
Authorized official Valencia, Simon Rudolfo Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Feb 21st, 2007
Last updated Aug 22nd, 2020 - about 5 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1396880985 NPPES
California MEDICAID 00A299720

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