Omar Vallez

NPI 1821839317 · on the registry since 2024 · sole proprietor

Practice

Address: 18270 Siskiyou Rd
Apple Valley, CA 92307
Phone: (760) 991-3020
Organisation at this address: Legacy Therapeutic Services, Inc.
High Desert Valley Pediatric Medical Group, Inc.
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 18

Registry record

Primary taxonomy: 224Z00000X
224Z00000X
Licence states on file: CA
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2024-06-10

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