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Organization
MADELEINE M VALENCERINA MD INC
Active
Organization
MADELEINE M VALENCERINA MD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MADELEINE M VALENCERINA MD (OWNER PROVIDER)
(714) 521-8262
Entity
Organization
Contact information
Practice address
14730 BEACH BLVD, SUITE 123, LA MIRADA, CA 90638
(714) 521-8262
(562) 690-5330
Mailing address
PO BOX 4500, CERRITOS, CA 90703-4500
(714) 521-8262
(562) 690-5330
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
A51043
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00A510430
BLUE SHIELD
CA
05
—
00A510431
—
CA
Enumeration date
12/11/2006
Last updated
06/24/2015
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