Provider Demographics
NPI:1477575694
Name:VALENZUELA-GAMM, MONICA A (DO)
Entity Type:Individual
Prefix:DR
First Name:MONICA
Middle Name:A
Last Name:VALENZUELA-GAMM
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1310 SAN BERNARDINO RD
Mailing Address - Street 2:SUITE # 201
Mailing Address - City:UPLAND
Mailing Address - State:CA
Mailing Address - Zip Code:91786-4979
Mailing Address - Country:US
Mailing Address - Phone:909-355-7855
Mailing Address - Fax:909-355-7856
Practice Address - Street 1:1310 SAN BERNARDINO RD
Practice Address - Street 2:SUITE # 201
Practice Address - City:UPLAND
Practice Address - State:CA
Practice Address - Zip Code:91786-4979
Practice Address - Country:US
Practice Address - Phone:909-355-7855
Practice Address - Fax:909-355-7856
Is Sole Proprietor?:No
Enumeration Date:2006-07-24
Last Update Date:2011-06-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA20A8687207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology