Individual
KEVIN VALENCIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
5850 6TH AVE, LOS ANGELES, CA 90043-3263
(323) 924-9084
Mailing address
5850 6TH AVE, LOS ANGELES, CA 90043-3263
(323) 924-9084
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
04/02/2025
Last updated
04/02/2025
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