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Contact Information

YAJAIRA C TIPAN VALDIVIEZO, RT
6431 LAKE TAHOE CT
SAN DIEGO, CA92119-2534
 Phone: 619-724-8780
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

SNF/Subacute Care

2279S1500X
Indicates primary specialty

NPI Profile & details for YAJAIRA C TIPAN VALDIVIEZO · (Female)

NPI Number 1033065198
Status Active
Credentials RT
Entity Individual
Enumeration date 03/09/2026
Last updated 03/09/2026 - About 3 months ago
Sole proprietor 1 No
Identifiers
  • CA License # 49323
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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