05D2015606 CLIA NUMBER - JEANNETTE DEL VALLE MD INC

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Laboratory Demographics

CLIA Number: 05D2015606

Facility Name: JEANNETTE DEL VALLE MD INC

Facility Address:
769 MEDICAL CENTER CT STE 203
CHULA VISTA, CA
ZIP 91911
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Facility Phone Number: 619 421-3313

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1952370074

Taxonomy: 207R00000X - Internal Medicine
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

CLIA Record

Field Name	Field Value
CLIA Number	05D2015606
LAB Type	Physician Office
Facility Name	JEANNETTE DEL VALLE MD INC
Street	769 MEDICAL CENTER CT STE 203
City	CHULA VISTA
State	CA
ZIP	91911
Phone	619 421-3313
CertificateType	4
CertificateEffectiveDate	10/29/2022
CertificateExpirationDate	10/28/2024
FacilityType	Waiver

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This page was last updated on: 4/23/2024