Provider Demographics
NPI:1700973005
Name:VALENZUELA, KRISTINA MARIE (BS BUSINESS ADMINIST)
Entity Type:Individual
Prefix:MISS
First Name:KRISTINA
Middle Name:MARIE
Last Name:VALENZUELA
Suffix:
Gender:F
Credentials:BS BUSINESS ADMINIST
Other - Prefix:MRS
Other - First Name:KRISTINA
Other - Middle Name:MARIE
Other - Last Name:KNIFFIN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:HS
Mailing Address - Street 1:3611 S HARBOR BLVD STE 100
Mailing Address - Street 2:
Mailing Address - City:SANTA ANA
Mailing Address - State:CA
Mailing Address - Zip Code:92704-7915
Mailing Address - Country:US
Mailing Address - Phone:714-966-8684
Mailing Address - Fax:
Practice Address - Street 1:3611 S HARBOR BLVD STE 100
Practice Address - Street 2:
Practice Address - City:SANTA ANA
Practice Address - State:CA
Practice Address - Zip Code:92704-7915
Practice Address - Country:US
Practice Address - Phone:714-966-8684
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-10-06
Last Update Date:2014-06-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator