Search › California › 390200000X
Tavis Valenzuela, PA-S
NPI 1356158422 · on the registry since 2024
Practice
- Address
- 2748 Via Corza
Camarillo, CA 93010 - Phone
- (805) 312-4700
Registry record
- Primary taxonomy
- 390200000X
390200000X
- Also registered as
- 363A00000X
- Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2024-12-12
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California