Valerie P Israel D.O., Inc

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

20A5886 Issued in CA

Legal business name

VALERIE P ISRAEL D.O., INC

Practice address

5953 Laurel Canyon Blvd
Suite C
Valley Village, CA 91607-5224

Phone

(424) 744-0077

Fax

(424) 652-2233

NPI assigned

Aug 5, 2007

Last updated

Mar 7, 2023By 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

Valerie P Israel, D.O.NPI 1497763775

Title

Owner

Phone

(424) 744-0077

Specialties & licenses 1

Addresses

Other identifiers 3

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Valerie Pratt Israel, D.O.

  • Hematology & Oncology Physician
  • Lake Havasu City, AZ
  • NPI 1497763775
  NPD (past) Authorized official

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

{
    "created_epoch": "1186272000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678147200000",
    "number": "1801087069",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5953 LAUREL CANYON BLVD",
            "address_2": "SUITE C",
            "city": "VALLEY VILLAGE",
            "state": "CA",
            "postal_code": "916075224",
            "telephone_number": "424-744-0077",
            "fax_number": "424-652-2233"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5953 LAUREL CANYON BLVD",
            "address_2": "SUITE C",
            "city": "VALLEY VILLAGE",
            "state": "CA",
            "postal_code": "916075224",
            "telephone_number": "424-744-0077",
            "fax_number": "424-652-2233"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VALERIE P ISRAEL D.O., INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-05",
        "last_updated": "2023-03-07",
        "status": "A",
        "authorized_official_last_name": "ISRAEL",
        "authorized_official_first_name": "VALERIE",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "424-744-0077",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "20A5886",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00AX58860",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UPIN",
            "identifier": "G05890",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "20A5886",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Internal Medicine Physician in Valley Village, CA
• Providers in Valley Village, CA by specialty
• Internal Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 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.