Individual provider Active NPI

Liliana Valenzuela, ELECTROLOGIST

  • Specialist
  • Pasadena, CA
National Provider Identifier
1346018496
Registry record updated Dec 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
L9758 Issued in CA
Practice address
40 N Altadena Dr
Pasadena, CA 91107-3386
Phone
(626) 703-3445
NPI assigned
Dec 18, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 19, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X L9758 CA Primary

Addresses

Primary practice location

40 N Altadena Dr
Pasadena, CA 91107-3386

Mailing address

40 N Altadena Dr Ste 200B
Pasadena, CA 91107-7304
Phone (626) 703-3445

Other practice location 1

8826 Ocean View Ave
Whittier, CA 90605-1513
Phone (626) 703-3445

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
L9758CAMDSpecialist

NPI Registry JSON

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

{
    "created_epoch": "1702857600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702944000000",
    "number": "1346018496",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40 N ALTADENA DR STE 200B",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911077304",
            "telephone_number": "626-703-3445"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 N ALTADENA DR",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911073386",
            "telephone_number": "626-703-3445"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8826 Ocean View Ave",
            "address_purpose": "LOCATION",
            "city": "Whittier",
            "state": "CA",
            "postal_code": "906051513",
            "country_code": "US",
            "telephone_number": "626-703-3445",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VALENZUELA",
        "first_name": "LILIANA",
        "name_prefix": "Mrs.",
        "credential": "ELECTROLOGIST",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-12-18",
        "last_updated": "2023-12-19",
        "certification_date": "2023-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CA",
            "license": "L9758",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pasadena, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2023; 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.