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Organization
VALDIVIA INC
Active
Organization
VALDIVIA INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LINO VALDIVIA PSY.D (PRESIDENT)
(714) 480-1111
Entity
Organization
Contact information
Practice address
540 N GOLDEN CIRCLE DR, SUITE 203, SANTA ANA, CA 92705-3914
(714) 480-1111
(714) 480-1112
Mailing address
540 N GOLDEN CIRCLE DR, SUITE 203, SANTA ANA, CA 92705-3914
(714) 480-1111
(714) 480-1112
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
PSY10220
CA
Other
Enumeration date
01/11/2012
Last updated
01/11/2012
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