Provider Demographics
NPI:1093723678
Name:VALENCIA, FRANK J (MD)
Entity Type:Individual
Prefix:DR
First Name:FRANK
Middle Name:J
Last Name:VALENCIA
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:210 N TUSTIN AVE
Mailing Address - Street 2:
Mailing Address - City:SANTA ANA
Mailing Address - State:CA
Mailing Address - Zip Code:92705-3807
Mailing Address - Country:US
Mailing Address - Phone:714-347-1053
Mailing Address - Fax:714-647-1245
Practice Address - Street 1:25495 MEDICAL CENTER DR
Practice Address - Street 2:STE 101
Practice Address - City:MURRIETA
Practice Address - State:CA
Practice Address - Zip Code:92562
Practice Address - Country:US
Practice Address - Phone:951-200-7777
Practice Address - Fax:951-973-7299
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-03
Last Update Date:2018-07-09
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CAA54764207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00A547640Medicare ID - Type Unspecified