Provider Demographics
NPI:1740355254
Name:VALENCIA GYNECOLOGY ASSOCIATES INC A MEDICAL GROUP
Entity type:Organization
Organization Name:VALENCIA GYNECOLOGY ASSOCIATES INC A MEDICAL GROUP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SECRETARY
Authorized Official - Prefix:DR
Authorized Official - First Name:CECILIA
Authorized Official - Middle Name:M
Authorized Official - Last Name:HANN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:661-259-1781
Mailing Address - Street 1:27871 SMYTH DR
Mailing Address - Street 2:SUITE 102
Mailing Address - City:VALENCIA
Mailing Address - State:CA
Mailing Address - Zip Code:91355-6062
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:27871 SMYTH DR
Practice Address - Street 2:SUITE 102
Practice Address - City:VALENCIA
Practice Address - State:CA
Practice Address - Zip Code:91355-6062
Practice Address - Country:US
Practice Address - Phone:661-259-1781
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-21
Last Update Date:2015-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAW9921AMedicare PIN