| Doctor Name: | JOSE ANGEL VALDIVIA |
| NPI Number: | 1053461285 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | PA-C |
| License Number: | 2145 |
| Business Practice Address: | 10401 W Thunderbird Blvd Sun City, AZ - 853513004 |
| Business Phone Number: | 6238765366 |
| Business Fax Number: | 8665528029 |
| Mailing Address: | 10401 W Thunderbird Blvd, SUN CITY |
| State: | AZ |
| Postal Code: | 853513004 |
| Phone Number: | 6238765366 |
| Fax Number: | 8665528029 |
| NPI Enumeration Date: | 01/11/2007 |
| NPI Last Update Date: | 02/14/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363AS0400X |
| License Number: | 2145 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | AZ |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Physician Assistant |
| Taxonomy Specialization: | Surgical |
| Taxonomy Definition: | |