1881480150 NPI number — MISS VALARIE BELEN HERNANDEZ MENDOZA

Table of content: MISS VALARIE BELEN HERNANDEZ MENDOZA (NPI 1881480150)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1881480150 NPI number — MISS VALARIE BELEN HERNANDEZ MENDOZA

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
HERNANDEZ MENDOZA
Provider First Name:
VALARIE
Provider Middle Name:
BELEN
Provider Name Prefix Text:
MISS
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1881480150
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
04/15/2025
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
28245 AVENUE CROCKER, VALENCIA, CA 91355
Provider Second Line Business Mailing Address:
28245 AVENUE CROCKER
Provider Business Mailing Address City Name:
VALENCIA
Provider Business Mailing Address State Name:
CA
Provider Business Mailing Address Postal Code:
91355
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
661-375-3339
Provider Business Mailing Address Fax Number:
661-375-3339

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
28245 AVENUE CROCKER, VALENCIA, CA 91355
Provider Second Line Business Practice Location Address:
28245 AVENUE CROCKER
Provider Business Practice Location Address City Name:
VALENCIA
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
91355
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
661-254-7086
Provider Business Practice Location Address Fax Number:
661-375-3339
Provider Enumeration Date:
04/15/2025

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 103K00000X , registered in the state of CA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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