Provider Demographics
NPI:1760183677
Name:CARMEN VALDEZ D.D.S INC
Entity Type:Organization
Organization Name:CARMEN VALDEZ D.D.S INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:ARACELI
Authorized Official - Middle Name:
Authorized Official - Last Name:HINOJOSA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:626-333-3600
Mailing Address - Street 1:15454 GALE AVE STE A
Mailing Address - Street 2:
Mailing Address - City:HACIENDA HTS
Mailing Address - State:CA
Mailing Address - Zip Code:91745-1593
Mailing Address - Country:US
Mailing Address - Phone:626-333-3600
Mailing Address - Fax:626-333-3677
Practice Address - Street 1:15454 GALE AVE STE A
Practice Address - Street 2:
Practice Address - City:HACIENDA HTS
Practice Address - State:CA
Practice Address - Zip Code:91745-1593
Practice Address - Country:US
Practice Address - Phone:626-333-3600
Practice Address - Fax:626-333-3677
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-03-16
Last Update Date:2023-03-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center