Provider Demographics
NPI:1326028549
Name:VALTIERRA, DEBORAH C (MD)
Entity type:Individual
Prefix:DR
First Name:DEBORAH
Middle Name:C
Last Name:VALTIERRA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:DEBORAH
Other - Middle Name:S
Other - Last Name:CZARSKI
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:975 SERENO DR
Mailing Address - Street 2:KAISER VALLEJO HBS
Mailing Address - City:VALLEJO
Mailing Address - State:CA
Mailing Address - Zip Code:94589-2441
Mailing Address - Country:US
Mailing Address - Phone:707-651-2440
Mailing Address - Fax:707-651-2522
Practice Address - Street 1:975 SERENO DR
Practice Address - Street 2:KAISER VALLEJO - HBS OFFICE
Practice Address - City:VALLEJO
Practice Address - State:CA
Practice Address - Zip Code:94589-2441
Practice Address - Country:US
Practice Address - Phone:707-651-2440
Practice Address - Fax:707-651-2522
Is Sole Proprietor?:No
Enumeration Date:2006-01-23
Last Update Date:2022-01-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA86122207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine