MILDRED ELIZABETH ANDREWS VALLANCE MD
NPI 1750386033
Pediatrics in Thousand Oaks, CA

Active since June 14, 2005
558 N. VENTU PARK RD., STE D, THOUSAND OAKS, CA 91320(805) 499-5525(805) 499-5554 Get Directions Write a Review

NPPES record last updated: February 20, 2017. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Mildred Elizabeth Andrews Vallance Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MILDRED ELIZABETH ANDREWS VALLANCE MD (NPI 1750386033) is an individual pediatrics provider in Thousand Oaks, California, licensed in Virginia (0101233059) and active in the NPI registry since June 2005.

NPPES Registry Identity

NPI1750386033
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameMILDRED ELIZABETH ANDREWS VALLANCECredential: MD
Location Address558 N. VENTU PARK RD., STE DThousand Oaks, CA 91320
Mailing Address558 N Ventu Park Rd Ste DThousand Oaks, CA 91320-2755 · (805) 499-5525 · Fax (805) 499-5554
Fax(805) 499-5554
Sole ProprietorNo
Enumeration DateJune 14, 2005
Last NPPES UpdateFebruary 20, 2017
NPI 1750386033 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License Licensed in VA · 0101233059
Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

558 N. VENTU PARK RD., STE D, Thousand Oaks, CA 91320

Other Identifiers 2

Medicare UPINOOV214P14
Medicaid006736904VA

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1750386033, enumerated as an "individual" on June 14, 2005.

The provider is located at 558 N. VENTU PARK RD., STE D THOUSAND OAKS, CA 91320 and the phone number is (805) 499-5525.

Pediatrics with taxonomy code 208000000X.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.