Provider Demographics
NPI:1689373110
Name:VALBUENA, GLADYS (LRE)
Entity Type:Individual
Prefix:MRS
First Name:GLADYS
Middle Name:
Last Name:VALBUENA
Suffix:
Gender:F
Credentials:LRE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:450 N. BEDFORD DRIVE
Mailing Address - Street 2:SUITE 200
Mailing Address - City:BEVERLY HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:90210
Mailing Address - Country:US
Mailing Address - Phone:661-406-1841
Mailing Address - Fax:310-861-1164
Practice Address - Street 1:DANA ELISE SOLUTIONS, LLC.
Practice Address - Street 2:450 N. BEDFORD DRIVE, SUITE 200
Practice Address - City:BEVERLY HILLS
Practice Address - State:CA
Practice Address - Zip Code:90210
Practice Address - Country:US
Practice Address - Phone:310-550-5566
Practice Address - Fax:310-861-1164
Is Sole Proprietor?:No
Enumeration Date:2023-02-23
Last Update Date:2023-02-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAL3752174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist