| Valenzuela Mental Health Services | |
|
15010 Fir St Hesperia CA 92345-9234 | |
| (760) 669-5297 | |
| (760) 669-5905 |
| Full Name | Valenzuela Mental Health Services |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 15010 Fir St, Hesperia, California |
| Authorized Official Name and Position | Alexander Valenzuela (OWNER) |
| Authorized Official Contact | 7606695297 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Valenzuela Mental Health Services 15010 Fir St Hesperia CA 92345-4316 | Valenzuela Mental Health Services 15010 Fir St Hesperia CA 92345-9234 Ph: (760) 669-5297 |
| NPI Number | 1013538610 |
|---|---|
| Provider Enumeration Date | 05/05/2020 |
| Last Update Date | 12/31/2024 |
| Certification Date | 12/31/2024 |
| Medicare PECOS PAC ID | 7416486246 |
|---|---|
| Medicare Enrollment ID | O20250123002995 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013538610 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | (NU) | Primary |
| Provider Name | Alexander Valenzuela |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1265715940 PECOS PAC ID: 1658800487 Enrollment ID: I20250317001217 |
| Provider Name | Adela Mercedes Valenzuela |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295745958 PECOS PAC ID: 3476881830 Enrollment ID: I20250523001821 |
| Provider Name | Alexander Jarrod Valenzuela |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669293197 PECOS PAC ID: 4284145848 Enrollment ID: I20250619001561 |
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