Individual
MRS. GRISELDA VALLES-DE LA CRUZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
B.S.
Contact information
Practice address
679 S NEW HAMPSHIRE AVE STE 400, LOS ANGELES, CA 90005-1355
(213) 639-2500
Mailing address
679 S NEW HAMPSHIRE AVE STE 400, LOS ANGELES, CA 90005-1355
(213) 639-2500
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
—
CA
175T00000X
Peer Specialist
Primary
MPSS-XUPIDN
CA
225400000X
Rehabilitation Practitioner
—
—
373H00000X
Day Training/Habilitation Specialist
—
—
Other
Enumeration date
10/05/2010
Last updated
02/23/2026
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