Leopoldo E Valdivia DO

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

License

CLM 29020 Issued in CA

Legal business name

LEOPOLDO E VALDIVIA DO

Practice address

1068 N Cherry St
Tulare, CA 93274

Phone

(559) 686-3311

Fax

(559) 686-3363

NPI assigned

Jan 9, 2008

Organization subpart

No

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

Authorized official

Name

Mrs. Jennifer Ann Valdivia, RN

Title

Office Manager

Phone

(559) 686-3311

Specialties & licenses 2

Addresses

Other identifiers 1

Tax ID family

Leopoldo E Valdivia DO2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Leopoldo E Valdivia DO Inc

  • Obstetrics & Gynecology Physician
  • Menifee, CA
  • NPI 1225470024
  NPD tax ID

Locations

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

{
    "created_epoch": "1199836800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1217289600000",
    "number": "1982889804",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1068 N CHERRY ST",
            "city": "TULARE",
            "state": "CA",
            "postal_code": "93274",
            "telephone_number": "559-686-3311",
            "fax_number": "559-686-3363"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1068 N CHERRY ST",
            "city": "TULARE",
            "state": "CA",
            "postal_code": "93274",
            "telephone_number": "559-686-3311",
            "fax_number": "559-686-3363"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEOPOLDO E VALDIVIA DO",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-09",
        "last_updated": "2008-07-29",
        "status": "A",
        "authorized_official_last_name": "VALDIVIA",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "559-686-3311",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "CA",
            "license": "CLM 29020",
            "primary": true
        },
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "CA",
            "license": "20A7040",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "LAB98288F",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Maria De Jesus Lemus Castillo, LPT
• Yesenia Lemus Yepez, BACHELORS
• Maria Lemus
• Cheryl M Lennon-Armas, LMFT
• Alisha Leon
• Yvonne I. Leramo, M.D.
• Tricia Leslie, RN
• Steven James Lessley, O.D.
• Briana Lewis
• Trae Michael Lewis

• Clinical Medical Laboratory in Tulare, CA
• Providers in Tulare, CA by specialty
• Clinical Medical Laboratory in California

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