Provider Demographics
NPI:1194325548
Name:TEMBLADOR, VALERIA DEL ROCIO
Entity type:Individual
Prefix:
First Name:VALERIA
Middle Name:DEL ROCIO
Last Name:TEMBLADOR
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:510 N MCDONNELL AVE
Mailing Address - Street 2:
Mailing Address - City:EAST LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90022-1111
Mailing Address - Country:US
Mailing Address - Phone:562-522-5593
Mailing Address - Fax:
Practice Address - Street 1:510 N MCDONNELL AVE
Practice Address - Street 2:
Practice Address - City:EAST LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90022-1111
Practice Address - Country:US
Practice Address - Phone:562-522-5593
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-10-27
Last Update Date:2020-10-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst