| Valdivia Inc | |
|
540 N Golden Circle Dr Suite 203 Santa Ana CA 92705-3914 | |
| (714) 480-1111 | |
| (714) 480-1112 |
| Full Name | Valdivia Inc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 540 N Golden Circle Dr, Santa Ana, California |
| Authorized Official Name and Position | Lino Valdivia (PRESIDENT) |
| Authorized Official Contact | 7144801111 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Valdivia Inc 540 N Golden Circle Dr Suite 203 Santa Ana CA 92705-3914 Ph: (714) 480-1111 | Valdivia Inc 540 N Golden Circle Dr Suite 203 Santa Ana CA 92705-3914 Ph: (714) 480-1111 |
| NPI Number | 1831469568 |
|---|---|
| Provider Enumeration Date | 01/11/2012 |
| Last Update Date | 01/11/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831469568 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | PSY10220 (California) | Primary |
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