Provider Demographics
NPI:1194375139
Name:REYES DEL VALLE, OYUKI
Entity Type:Individual
Prefix:
First Name:OYUKI
Middle Name:
Last Name:REYES DEL VALLE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10532 ACACIA ST STE B11
Mailing Address - Street 2:
Mailing Address - City:RANCHO CUCAMONGA
Mailing Address - State:CA
Mailing Address - Zip Code:91730-5444
Mailing Address - Country:US
Mailing Address - Phone:818-844-3376
Mailing Address - Fax:818-844-4203
Practice Address - Street 1:10532 ACACIA ST STE B11
Practice Address - Street 2:
Practice Address - City:RANCHO CUCAMONGA
Practice Address - State:CA
Practice Address - Zip Code:91730-5444
Practice Address - Country:US
Practice Address - Phone:818-844-3376
Practice Address - Fax:818-844-4203
Is Sole Proprietor?:Yes
Enumeration Date:2019-09-11
Last Update Date:2019-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician