Evan Jonathan Valle LLC

Primary specialty

Trauma Surgery PhysicianTaxonomy code 2086S0127X

License

A147393 Issued in CA

Legal business name

EVAN JONATHAN VALLE LLC

Practice address

11550 Indian Hills Rd Ste 310
Mission Hills, CA 91345-1203

Phone

(818) 898-4900

Fax

(818) 898-4990

NPI assigned

Aug 21, 2018

Last updated

Aug 21, 2018By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Evan J Valle, MD

Title

President

Phone

(818) 898-4900

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1534809600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1534809600000",
    "number": "1316427040",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35 E GLENARM ST",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911053418",
            "telephone_number": "626-768-4415",
            "fax_number": "626-403-0321"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11550 INDIAN HILLS RD STE 310",
            "city": "MISSION HILLS",
            "state": "CA",
            "postal_code": "913451203",
            "telephone_number": "818-898-4900",
            "fax_number": "818-898-4990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EVAN JONATHAN VALLE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-08-21",
        "last_updated": "2018-08-21",
        "status": "A",
        "authorized_official_last_name": "VALLE",
        "authorized_official_first_name": "EVAN",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "818-898-4900",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2086S0127X",
            "taxonomy_group": "",
            "desc": "Surgery, Trauma Surgery",
            "state": "CA",
            "license": "A147393",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emile G. Shenouda MD Inc. (Mission Hills Family Medical Clinic)
• Naruchon Engkatanakorn, M.D.
• Saul Daniel Escobar
• Jose Mari Z. Esparrago, M.D.
• Lorraine Margaret Estronick, AGACNP-BC
• Evan Jonathan Valle PC
• Jennifer Gloria Evangelista, LMFT
• Excellent Palliative and Hospice Care, Inc.
• Exclusive Recovery Center Inc
• Facey Medical Group a Medical Corporation

• Trauma Surgery Physician in Mission Hills, CA
• Providers in Mission Hills, CA by specialty
• Trauma Surgery Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.