| Valerie P Israel D.o., Inc | |
|
5953 Laurel Canyon Blvd Suite C Valley Village CA 91607-5224 | |
| (424) 744-0077 | |
| (424) 652-2233 |
| Full Name | Valerie P Israel D.o., Inc |
|---|---|
| Speciality | Internal Medicine |
| Location | 5953 Laurel Canyon Blvd, Valley Village, California |
| Authorized Official Name and Position | Valerie P Israel (OWNER) |
| Authorized Official Contact | 4247440077 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Valerie P Israel D.o., Inc 5953 Laurel Canyon Blvd Suite C Valley Village CA 91607-5224 Ph: (424) 744-0077 | Valerie P Israel D.o., Inc 5953 Laurel Canyon Blvd Suite C Valley Village CA 91607-5224 Ph: (424) 744-0077 |
| NPI Number | 1801087069 |
|---|---|
| Provider Enumeration Date | 08/05/2007 |
| Last Update Date | 03/07/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801087069 | NPI | - | NPPES |
| 20A5886 | Other | CA | LICENSE |
| 00AX58860 | Medicaid | CA | |
| G05890 | Other | CA | UPIN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 20A5886 (California) | Primary |
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