| Valdez Medical Corp | |
|
1850 Sullivan Ave Ste 420 Daly City CA 94015-2204 | |
| (650) 756-1214 | |
| (650) 756-3579 |
| Full Name | Valdez Medical Corp |
|---|---|
| Speciality | Family Medicine |
| Location | 1850 Sullivan Ave Ste 420, Daly City, California |
| Authorized Official Name and Position | Amelia B Valdez (OWNER) |
| Authorized Official Contact | 6507561214 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Valdez Medical Corp 1850 Sullivan Ave Ste 420 Daly City CA 94015-2204 Ph: (650) 756-1214 | Valdez Medical Corp 1850 Sullivan Ave Ste 420 Daly City CA 94015-2204 Ph: (650) 756-1214 |
| NPI Number | 1730218405 |
|---|---|
| Provider Enumeration Date | 03/05/2007 |
| Last Update Date | 10/02/2014 |
| Medicare PECOS PAC ID | 2961466180 |
|---|---|
| Medicare Enrollment ID | O20041117000743 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730218405 | NPI | - | NPPES |
| 1124053012 | Other | CA | INDIVIDUAL NPI(TYPE I) |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | A52626 (California) | Primary |
| Provider Name | Amelia B Valdez |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1124053012 PECOS PAC ID: 7810951035 Enrollment ID: I20041119001085 |
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