Individual
CARLOS VALLEJO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4515 PORTOLA PKWY, IRVINE, CA 92620-2200
(562) 361-6131
Mailing address
8356 5TH ST APT 207, DOWNEY, CA 90241-3832
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
CA
Other
Enumeration date
02/28/2026
Last updated
02/28/2026
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