Malinda Marian Valenzuela, | |
126 Avocado Ave Ste 106, Perris, CA 92571-2605 | |
(951) 943-7212 | |
Not Available |
Full Name | Malinda Marian Valenzuela |
---|---|
Gender | Female |
Speciality | Registered Nurse |
Location | 126 Avocado Ave Ste 106, Perris, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1831717735 | NPI | - | NPPES |
1396108403 | Medicaid | CA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 95015189 (California) | Secondary |
163W00000X | Registered Nurse | 643704 (California) | Primary |
Entity Name | Citrus Medical Clinic Professional Corp |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1013605187 PECOS PAC ID: 5799121075 Enrollment ID: O20240308001353 |
Mailing Address | Practice Location Address |
---|---|
Malinda Marian Valenzuela, Po Box 9865, Redlands, CA 92375-3065 Ph: (909) 653-9775 | Malinda Marian Valenzuela, 126 Avocado Ave Ste 106, Perris, CA 92571-2605 Ph: (951) 943-7212 |
Bui Muturi Thuo, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 20535 Lakeridge Dr, Perris, CA 92570 Phone: 951-776-7446 | |
Ms. Cierra Z Keaton, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 20948 Onaknoll Dr, Perris, CA 92570 Phone: 949-228-9240 | |
Ms. Sherry Scott, Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 308 E. San Jacinto Ave., Perris, CA 92571 Phone: 951-210-1345 Fax: 951-210-1348 | |
Vanessa Moya, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 308 E San Jacinto Ave, Perris, CA 92570 Phone: 951-578-0610 | |
Amy Patchen, Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 308 E San Jacinto Ave, Perris, CA 92570 Phone: 951-210-1332 | |
Mrs. Tera Lynn Lopez, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 555 N Perris Blvd, Perris, CA 92571 Phone: 951-436-5216 Fax: 951-436-5250 | |
Brittany Nicole Moser, R.N Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 555 N Perris Blvd, Perris, CA 92571 Phone: 951-436-5216 Fax: 951-436-5272 |