Individual
DR. CARLOS MARIO VALDEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
1615 W WHITTIER BLVD, MONTEBELLO, CA 90640-4002
(323) 722-3300
(323) 722-7989
Mailing address
1615 W WHITTIER BLVD, MONTEBELLO, CA 90640-4002
(323) 722-3300
(323) 722-7989
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
DC14520
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
AW602A
MEDICARE PPTN
CA
Enumeration date
09/13/2006
Last updated
02/05/2009
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