Provider Demographics
NPI:1942355540
Name:VALDES, ANN CATHERINE (MD)
Entity Type:Individual
Prefix:
First Name:ANN
Middle Name:CATHERINE
Last Name:VALDES
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Mailing Address - Street 1:4169 WEBSTER ST
Mailing Address - Street 2:
Mailing Address - City:OAKLAND
Mailing Address - State:CA
Mailing Address - Zip Code:94609-2519
Mailing Address - Country:US
Mailing Address - Phone:510-597-0543
Mailing Address - Fax:415-241-8322
Practice Address - Street 1:ST. ANTHONY FREE MEDICAL CLINIC
Practice Address - Street 2:105-107 GOLDEN GATE AVENUE
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94102
Practice Address - Country:US
Practice Address - Phone:415-592-2712
Practice Address - Fax:415-241-8322
Is Sole Proprietor?:No
Enumeration Date:2007-01-24
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAA63357207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine