Provider Demographics
NPI:1932869518
Name:VALENTINCIC, VERONICA JUNE (PMHNP-BC)
Entity Type:Individual
Prefix:
First Name:VERONICA
Middle Name:JUNE
Last Name:VALENTINCIC
Suffix:
Gender:F
Credentials:PMHNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14111 SAWSTON CIR
Mailing Address - Street 2:
Mailing Address - City:WESTMINSTER
Mailing Address - State:CA
Mailing Address - Zip Code:92683-4133
Mailing Address - Country:US
Mailing Address - Phone:714-504-1783
Mailing Address - Fax:
Practice Address - Street 1:16541 GOTHARD ST
Practice Address - Street 2:
Practice Address - City:HUNTINGTON BEACH
Practice Address - State:CA
Practice Address - Zip Code:92647-4471
Practice Address - Country:US
Practice Address - Phone:714-375-1110
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-12-23
Last Update Date:2021-12-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA95019531363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health