Individual
DR. EVAN JONATHAN VALLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
101 THE CITY DR S, ORANGE, CA 92868-3201
(714) 456-7002
(714) 456-8858
Mailing address
3121 1/2 HOLLYCREST DR, LOS ANGELES, CA 90068-1803
(650) 201-1026
Taxonomy
Speciality
Code
Description
License number
State
2086S0127X
Trauma Surgery Physician
Primary
A147393
CA
Other
Enumeration date
06/04/2010
Last updated
10/16/2018
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