Provider Demographics
NPI:1205826104
Name:VALDOVINOS, ADRIANA M (MD)
Entity Type:Individual
Prefix:
First Name:ADRIANA
Middle Name:M
Last Name:VALDOVINOS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:ADRIANA
Other - Middle Name:M
Other - Last Name:VALDOVINOS-CAMPA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:4502 E AVENUE S
Mailing Address - Street 2:
Mailing Address - City:PALMDALE
Mailing Address - State:CA
Mailing Address - Zip Code:93552-4480
Mailing Address - Country:US
Mailing Address - Phone:661-533-7534
Mailing Address - Fax:661-533-7809
Practice Address - Street 1:4502 E AVENUE S
Practice Address - Street 2:
Practice Address - City:PALMDALE
Practice Address - State:CA
Practice Address - Zip Code:93552-4480
Practice Address - Country:US
Practice Address - Phone:661-533-7534
Practice Address - Fax:661-533-7809
Is Sole Proprietor?:No
Enumeration Date:2005-10-24
Last Update Date:2021-12-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA62181207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine