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Organization
JEANNETTE DEL VALLE MD, INC.
Active
Organization
JEANNETTE DEL VALLE MD, INC.
Active
Other names
N/A
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEANNETTE DEL VALLE M.D., F.A.C.G.S. (PRESIDENT)
(619) 421-3313
Entity
Organization
Contact information
Practice address
769 MEDICAL CENTER CT, SUITE 203, CHULA VISTA, CA 91911-6602
(619) 421-3313
(619) 421-3315
Mailing address
PO BOX 568, MUNCIE, IN 47308-0568
(765) 284-0493
(765) 284-2434
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
A42660
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A426600
—
CA
01
—
1952370074
TYPE I NPI
CA
01
—
WA42660G
MEDICARE ID-TYPE UNSPECIFIED
CA
Enumeration date
07/02/2009
Last updated
08/06/2014
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