Provider Demographics
NPI:1508513615
Name:VALENZUELA AND ASSOCIATES, PSYCHOLOGISTS, A PROFESSIONAL CORPO
Entity Type:Organization
Organization Name:VALENZUELA AND ASSOCIATES, PSYCHOLOGISTS, A PROFESSIONAL CORPO
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:A
Authorized Official - Last Name:VALENZUELA
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:805-766-7724
Mailing Address - Street 1:137 W EL ROBLAR DR
Mailing Address - Street 2:
Mailing Address - City:OJAI
Mailing Address - State:CA
Mailing Address - Zip Code:93023-2208
Mailing Address - Country:US
Mailing Address - Phone:805-766-7724
Mailing Address - Fax:
Practice Address - Street 1:137 W EL ROBLAR DR
Practice Address - Street 2:
Practice Address - City:OJAI
Practice Address - State:CA
Practice Address - Zip Code:93023-2208
Practice Address - Country:US
Practice Address - Phone:805-766-7724
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-03-08
Last Update Date:2022-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health
No261QM0855XAmbulatory Health Care FacilitiesClinic/CenterAdolescent and Children Mental Health