Organization
EVAN JONATHAN VALLE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EVAN J VALLE MD (PRESIDENT)
(818) 898-4900
Entity
Organization
Contact information
Practice address
11550 INDIAN HILLS RD STE 310, MISSION HILLS, CA 91345-1203
(818) 898-4900
(818) 898-4990
Mailing address
35 E GLENARM ST, PASADENA, CA 91105-3418
(626) 768-4415
(626) 403-0321
Taxonomy
Speciality
Code
Description
License number
State
2086S0127X
Trauma Surgery Physician
Primary
A147393
CA
Other
Enumeration date
08/21/2018
Last updated
08/21/2018
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