Provider Demographics
NPI:1659838274
Name:OLDENBURG, VALERIE DOLORES (DC)
Entity Type:Individual
Prefix:DR
First Name:VALERIE
Middle Name:DOLORES
Last Name:OLDENBURG
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:VALERIE
Other - Middle Name:DOLORES
Other - Last Name:LERIDA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:41880 KALMIA ST STE 135
Mailing Address - Street 2:
Mailing Address - City:MURRIETA
Mailing Address - State:CA
Mailing Address - Zip Code:92562-8835
Mailing Address - Country:US
Mailing Address - Phone:951-677-6500
Mailing Address - Fax:951-677-2665
Practice Address - Street 1:41880 KALMIA ST STE 135
Practice Address - Street 2:
Practice Address - City:MURRIETA
Practice Address - State:CA
Practice Address - Zip Code:92562-8835
Practice Address - Country:US
Practice Address - Phone:951-677-6500
Practice Address - Fax:951-677-2665
Is Sole Proprietor?:No
Enumeration Date:2019-03-01
Last Update Date:2019-03-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CADC34466111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor