Organization
IGNACIO VALDES MD A PROFESSIONAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
IGNACIO VALDES M.D. (OWNER)
(818) 502-4567
Entity
Organization
Contact information
Practice address
222 W EULALIA ST, SUITE 211, GLENDALE, CA 91204-2851
(818) 502-4567
(818) 502-4569
Mailing address
222 W EULALIA ST, SUITE 211, GLENDALE, CA 91204-2851
(818) 502-4567
(818) 502-4569
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
G62465
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G624650
—
CA
Enumeration date
02/02/2012
Last updated
09/20/2023
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