Provider Demographics
NPI:1497375653
Name:RINA CHETAN VALIA
Entity type:Organization
Organization Name:RINA CHETAN VALIA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:RINA
Authorized Official - Middle Name:
Authorized Official - Last Name:VALIA
Authorized Official - Suffix:
Authorized Official - Credentials:HIS
Authorized Official - Phone:650-627-6114
Mailing Address - Street 1:2907 S EL CAMINO REAL
Mailing Address - Street 2:
Mailing Address - City:SAN MATEO
Mailing Address - State:CA
Mailing Address - Zip Code:94403-2730
Mailing Address - Country:US
Mailing Address - Phone:650-627-6114
Mailing Address - Fax:
Practice Address - Street 1:2907 S EL CAMINO REAL
Practice Address - Street 2:
Practice Address - City:SAN MATEO
Practice Address - State:CA
Practice Address - Zip Code:94403-2730
Practice Address - Country:US
Practice Address - Phone:650-627-6114
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-04-17
Last Update Date:2020-04-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0700XAmbulatory Health Care FacilitiesClinic/CenterHearing and Speech