| Juden Valdez Md Inc | |
|
23700 Camino Del Sol Torrance CA 90505-5017 | |
| (310) 530-1151 | |
| (310) 626-9390 |
| Full Name | Juden Valdez Md Inc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 23700 Camino Del Sol, Torrance, California |
| Authorized Official Name and Position | Juden C Valdez (OWNER PROVIDER) |
| Authorized Official Contact | 4244007748 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Juden Valdez Md Inc Po Box 4570 Palos Verdes Estates CA 90274-9607 Ph: (424) 400-7748 | Juden Valdez Md Inc 23700 Camino Del Sol Torrance CA 90505-5017 Ph: (310) 530-1151 |
| NPI Number | 1700907383 |
|---|---|
| Provider Enumeration Date | 04/02/2007 |
| Last Update Date | 09/11/2014 |
| Medicare PECOS PAC ID | 9335272160 |
|---|---|
| Medicare Enrollment ID | O20100730000783 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700907383 | NPI | - | NPPES |
| 00A524250 | Other | CA | BLUE SHIELD |
| 00A524251 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | A52425 (California) | Primary |
| Provider Name | Juden C Valdez |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1861550444 PECOS PAC ID: 2062483704 Enrollment ID: I20040804001721 |
| Provider Name | Irine Niuke Achuamang |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760999114 PECOS PAC ID: 1759643786 Enrollment ID: I20180402002174 |
| Provider Name | Reinald Allen Revilla |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821507716 PECOS PAC ID: 0042569238 Enrollment ID: I20180821003691 |
| Provider Name | Onyekwere C Anyanwu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114336070 PECOS PAC ID: 6800295825 Enrollment ID: I20210525001258 |
| Provider Name | Funmilola Olayemi Ojeleye |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790407492 PECOS PAC ID: 3072985613 Enrollment ID: I20230215001020 |
| Provider Name | Charilyn Bringas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659715266 PECOS PAC ID: 7911181144 Enrollment ID: I20230703002007 |
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