Organization
PACIFIC PERINATAL INSTITUTE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GUILLERMO J. VALENZUELA MD (PRESIDENT)
(909) 580-6333
Entity
Organization
Contact information
Practice address
400 N PEPPER AVE, COLTON, CA 92324
(909) 580-6333
(909) 580-3289
Mailing address
400 N PEPPER AVE, MOB 206, COLTON, CA 92324-1801
(909) 580-6333
(909) 580-3289
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
—
—
207VM0101X
Maternal & Fetal Medicine Physician
Primary
—
—
Other
Enumeration date
03/03/2015
Last updated
05/29/2020
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