Provider Demographics
NPI:1902858541
Name:MEDICI, VALENTINA (MD)
Entity Type:Individual
Prefix:DR
First Name:VALENTINA
Middle Name:
Last Name:MEDICI
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4150 V ST
Mailing Address - Street 2:DIVISION OF GASTROENTEROLOGY
Mailing Address - City:SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95817-1460
Mailing Address - Country:US
Mailing Address - Phone:916-734-7224
Mailing Address - Fax:916-734-7908
Practice Address - Street 1:4150 V ST
Practice Address - Street 2:DIVISION OF GASTROENTEROLOGY
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95817-1460
Practice Address - Country:US
Practice Address - Phone:916-734-7224
Practice Address - Fax:916-734-7908
Is Sole Proprietor?:No
Enumeration Date:2006-05-16
Last Update Date:2011-10-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAF5390207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology