Provider Demographics
NPI:1891107553
Name:KATHLEEN VALENTON, M.D., INC.
Entity Type:Organization
Organization Name:KATHLEEN VALENTON, M.D., INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:KATHLEEN
Authorized Official - Middle Name:
Authorized Official - Last Name:VALENTON
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:310-432-6640
Mailing Address - Street 1:421 N RODEO DR
Mailing Address - Street 2:PENTHOUSE 1
Mailing Address - City:BEVERLY HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:90210-4500
Mailing Address - Country:US
Mailing Address - Phone:310-432-6640
Mailing Address - Fax:310-432-6647
Practice Address - Street 1:421 N RODEO DR
Practice Address - Street 2:PENTHOUSE NO. ONE
Practice Address - City:BEVERLY HILLS
Practice Address - State:CA
Practice Address - Zip Code:90210-4500
Practice Address - Country:US
Practice Address - Phone:310-432-6640
Practice Address - Fax:310-432-6647
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-05-28
Last Update Date:2015-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA107812207VX0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207VX0000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyObstetricsGroup - Single Specialty