Provider Demographics
NPI:1669953089
Name:ASPURIA-VALDEZ, ANGELA ANN G
Entity type:Individual
Prefix:
First Name:ANGELA ANN
Middle Name:G
Last Name:ASPURIA-VALDEZ
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5101 MARKET ST
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92114-2219
Mailing Address - Country:US
Mailing Address - Phone:619-372-9172
Mailing Address - Fax:
Practice Address - Street 1:5101 MARKET ST
Practice Address - Street 2:
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92114-2219
Practice Address - Country:US
Practice Address - Phone:619-372-9172
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-08-23
Last Update Date:2023-10-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA95095854163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse