Provider Demographics
NPI:1306000740
Name:VALIA, RINA (LCEH)
Entity Type:Individual
Prefix:
First Name:RINA
Middle Name:
Last Name:VALIA
Suffix:
Gender:F
Credentials:LCEH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2907 S EL CAMINO REAL
Mailing Address - Street 2:
Mailing Address - City:SAN MATEO
Mailing Address - State:CA
Mailing Address - Zip Code:94403-2730
Mailing Address - Country:US
Mailing Address - Phone:650-627-6114
Mailing Address - Fax:
Practice Address - Street 1:2907 S EL CAMINO REAL
Practice Address - Street 2:
Practice Address - City:SAN MATEO
Practice Address - State:CA
Practice Address - Zip Code:94403-2730
Practice Address - Country:US
Practice Address - Phone:650-627-6114
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-07-15
Last Update Date:2020-04-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
175L00000X
CAHA8492237700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument Specialist
No175L00000XOther Service ProvidersHomeopath