Provider Demographics
NPI:1043258502
Name:ACEVEDO, VALERIE VALENTINE (DO)
Entity type:Individual
Prefix:DR
First Name:VALERIE
Middle Name:VALENTINE
Last Name:ACEVEDO
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:P.O. BOX 11975
Mailing Address - Street 2:
Mailing Address - City:NEWPORT BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:92658
Mailing Address - Country:US
Mailing Address - Phone:949-752-2400
Mailing Address - Fax:949-752-2401
Practice Address - Street 1:20072 SW BIRCH ST
Practice Address - Street 2:SUITE 170
Practice Address - City:NEWPORT BEACH
Practice Address - State:CA
Practice Address - Zip Code:92660-0794
Practice Address - Country:US
Practice Address - Phone:949-752-2400
Practice Address - Fax:949-752-2401
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-04
Last Update Date:2009-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA20A68802084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology