South Valley Internal Medicine a Medical Corporation

Primary specialty

SpecialistTaxonomy code 174400000X

License

A67014 Issued in CA

Legal business name

SOUTH VALLEY INTERNAL MEDICINE A MEDICAL CORPORATION

Practice address

18356 Clark St
Suite 101
Tarzana, CA 91356-3502

Phone

(626) 397-4910

Fax

(626) 397-4911

NPI assigned

Feb 8, 2006

Organization subpart

No

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

Authorized official

Name

Eugenia Villalba

Title

Practive Manger

Phone

(626) 397-4910

Specialties & licenses 1

Addresses

Other identifiers 2

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

{
    "created_epoch": "1139356800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1209427200000",
    "number": "1962475244",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "540 S MARENGO AVE",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911013130",
            "telephone_number": "626-397-4910",
            "fax_number": "626-397-4911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18356 CLARK ST",
            "address_2": "SUITE 101",
            "city": "TARZANA",
            "state": "CA",
            "postal_code": "913563502",
            "telephone_number": "626-397-4910",
            "fax_number": "626-397-4911"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH VALLEY INTERNAL MEDICINE A MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-08",
        "last_updated": "2008-04-29",
        "status": "A",
        "authorized_official_last_name": "VILLALBA",
        "authorized_official_first_name": "EUGENIA",
        "authorized_official_title_or_position": "PRACTIVE MANGER",
        "authorized_official_telephone_number": "626-397-4910"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "CA",
            "license": "A67014",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SS#",
            "identifier": "607841115",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A670140",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rosa Zafiro Soto
• Silvia Soto
• Sound Audiology Services
• South Valley Heart Center, Inc
• South Valley Imaging
• South Valley Physician Group, Inc.
• South Valley Radiology Medical Group Inc
• South Valley Sleep Center, Inc.
• Southern California Audiology Associates, Inc
• Southern California Multi-Specialty Center Inc

• Specialist in Tarzana, CA
• Providers in Tarzana, CA by specialty
• Specialist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2008; 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.