Organization
DE ANZA OBSTETRICS AND GYNECOLOGY MEDICAL GROUP, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GUILLERMO VALENZUELA (PRESIDENT)
(909) 580-3470
Entity
Organization
Contact information
Practice address
4190 CHICAGO AVE, RIVERSIDE, CA 92507-5348
(951) 683-2106
(951) 683-2105
Mailing address
PO BOX 1762, COLTON, CA 92324-0857
(951) 683-2106
(951) 638-2105
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
A38671
CA
207VM0101X
Maternal & Fetal Medicine Physician
—
—
Other
Enumeration date
11/01/2006
Last updated
10/13/2014
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