# IGNACIO VALDES MD A PROFESSIONAL

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

## Provider details

- **NPI number:** 1487926663
- **Authorized official:** IGNACIO VALDES M.D. (OWNER)
- **Authorized official phone:** (818) 502-4567

## Contact information

- **Practice address:** 222 W EULALIA ST, SUITE 211, GLENDALE, CA 91204-2851
- **Practice address phone:** (818) 502-4567
- **Practice address fax:** (818) 502-4569
- **Mailing address:** 222 W EULALIA ST, SUITE 211, GLENDALE, CA 91204-2851
- **Mailing address phone:** (818) 502-4567
- **Mailing address fax:** (818) 502-4569

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | G62465 | CA | Yes |

## Other

- **Enumeration date:** 02/02/2012
- **Last updated:** 09/20/2023
