Provider Demographics
NPI:1194998625
Name:VALENS MEDICAL
Entity type:Organization
Organization Name:VALENS MEDICAL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PARTNER
Authorized Official - Prefix:
Authorized Official - First Name:KURT
Authorized Official - Middle Name:
Authorized Official - Last Name:HONG
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:949-955-2894
Mailing Address - Street 1:18006 SKY PARK CIR
Mailing Address - Street 2:SUITE #110
Mailing Address - City:IRVINE
Mailing Address - State:CA
Mailing Address - Zip Code:92614-6406
Mailing Address - Country:US
Mailing Address - Phone:949-955-2894
Mailing Address - Fax:949-955-0608
Practice Address - Street 1:18006 SKY PARK CIR
Practice Address - Street 2:SUITE #110
Practice Address - City:IRVINE
Practice Address - State:CA
Practice Address - Zip Code:92614-6406
Practice Address - Country:US
Practice Address - Phone:949-955-2894
Practice Address - Fax:949-955-0608
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-04-04
Last Update Date:2008-11-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA84382207R00000X
CAA82142207R00000X
CAA72848207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty