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Organization
VALERIE P ISRAEL D.O., INC
Active
Organization
VALERIE P ISRAEL D.O., INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VALERIE P ISRAEL D.O. (OWNER)
(424) 744-0077
Entity
Organization
Contact information
Practice address
5953 LAUREL CANYON BLVD, SUITE C, VALLEY VILLAGE, CA 91607-5224
(424) 744-0077
(424) 652-2233
Mailing address
5953 LAUREL CANYON BLVD, SUITE C, VALLEY VILLAGE, CA 91607-5224
(424) 744-0077
(424) 652-2233
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
20A5886
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00AX58860
—
CA
01
—
20A5886
LICENSE
CA
01
—
G05890
UPIN
CA
Enumeration date
08/05/2007
Last updated
03/07/2023
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