# SIMON R. VALENCIA MD, INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1396880985
- **Authorized official:** DR. SIMON RUDOLFO VALENCIA MD (MD)
- **Authorized official phone:** (323) 660-5624

## Contact information

- **Practice address:** 1234 N VERMONT AVE, LOS ANGELES, CA 90029
- **Practice address phone:** (323) 660-5624
- **Practice address fax:** (330) 660-5626
- **Mailing address:** 1234 N VERMONT AVE, LOS ANGELES, CA 90029
- **Mailing address phone:** (323) 660-5624
- **Mailing address fax:** (330) 660-5626

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RE0101X | Endocrinology, Diabetes & Metabolism Physician | A29972 | CA | Yes |

## Other

- **Enumeration date:** 02/21/2007
- **Last updated:** 08/22/2020
