Valdorsey Aaron

Individual provider Active NPI Rehabilitation Practitioner · Culver City, CA

NPI 1639649809 · NPPES record last updated Nov 30, 2018

Key facts

NPI
1639649809
Entity type
Individual (NPI type 1)
Primary specialty
Rehabilitation Practitioner 225400000X
Practice address
9808 Venice Blvd Ste 700
Culver City, CA 90232-6824
Phone
(310) 945-3350
Fax
(310) 945-3356
NPI assigned
Nov 30, 2018
Sex
Male
Sole proprietor
Yes

Medicare participation

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

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Practitioner 225400000X Yes

Addresses

Primary practice location

9808 Venice Blvd Ste 700
Culver City, CA 90232-6824

Mailing address

9808 Venice Blvd Ste 700
Culver City, CA 90232-6824
Phone (310) 945-3350

Other providers in Culver City, CA

All providers in Culver City, CA · Rehabilitation Practitioner in California

Sources for this page

Verify at the official NPI Registry.