Valentine, Nasa

Valentine, Nasa is an sole proprietor health care provider with primary practice located at 6020 Seabluff Dr , Playa Vista CA 90094-2252. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Valentine, Nasa can be contacted via phone (310) 862-0400.

Contact Information

Primary practice address
6020 Seabluff Dr Playa Vista CA 90094-2252
Phone: (310) 862-0400
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 036121819 Illinois
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X A102556 California

Profile Details

NPI number 1295999589
LBN Legal business name Valentine, Nasa
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 15th, 2008
Last updated Oct 16th, 2021 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1295999589 NPPES
Illinois Other 036121819 ILLINIOIS STATE LICENSE
Illinois Other A102256 ILLINIOIS STATE LICENSE

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