Doctor Name: | DR. LISA MARIE VALLE |
NPI Number: | 1073509642 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | D.O. |
License Number: | 20A8420 |
Business Practice Address: | 10866 Wilshire Blvd 4th Floor, #258 Los Angeles, CA - 900244300 |
Business Phone Number: | 3238633978 |
Business Fax Number: | 3104962762 |
Mailing Address: | 10866 Wilshire Blvd, 4th Floor, #258 LOS ANGELES |
State: | CA |
Postal Code: | 900244300 |
Phone Number: | 3238633978 |
Fax Number: | 3104962762 |
NPI Enumeration Date: | 09/20/2005 |
NPI Last Update Date: | 09/03/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 207V00000X |
License Number: | 20A8420 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Obstetrics & Gynecology |
Taxonomy Specialization: | |
Taxonomy Definition: | An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |