Provider Demographics
NPI:1104537596
Name:VALAVSKY, VLAD
Entity type:Individual
Prefix:
First Name:VLAD
Middle Name:
Last Name:VALAVSKY
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6110 GARFIELD AVE
Mailing Address - Street 2:
Mailing Address - City:SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95841-2009
Mailing Address - Country:US
Mailing Address - Phone:916-642-7800
Mailing Address - Fax:916-244-0880
Practice Address - Street 1:6110 GARFIELD AVE
Practice Address - Street 2:
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95841-2009
Practice Address - Country:US
Practice Address - Phone:916-642-7800
Practice Address - Fax:916-244-0880
Is Sole Proprietor?:No
Enumeration Date:2022-12-07
Last Update Date:2025-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes373H00000XNursing Service Related ProvidersDay Training/Habilitation Specialist