Provider Demographics
NPI:1033532833
Name:VALENCIA NEUROLOGY PC
Entity Type:Organization
Organization Name:VALENCIA NEUROLOGY PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ARLYN
Authorized Official - Middle Name:M
Authorized Official - Last Name:VALENCIA
Authorized Official - Suffix:
Authorized Official - Credentials:MC
Authorized Official - Phone:702-664-2007
Mailing Address - Street 1:7500 W LAKE MEAD BLVD STE 9
Mailing Address - Street 2:BOX 467
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89128-1000
Mailing Address - Country:US
Mailing Address - Phone:702-664-2007
Mailing Address - Fax:702-664-0905
Practice Address - Street 1:7500 W LAKE MEAD BLVD STE 9
Practice Address - Street 2:BOX 467
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89128-1000
Practice Address - Country:US
Practice Address - Phone:702-664-2007
Practice Address - Fax:702-664-0905
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-01-29
Last Update Date:2014-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurologyGroup - Single Specialty