Valencia, Mimie

Valencia, Mimie is an individual health care provider with primary practice located at 20311 Sw Birch St Ste 100 , Newport Beach CA 92660-1778. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as her primary health care specialty. Valencia, Mimie can be contacted via phone (949) 345-5990.

Contact Information

Primary practice address
20311 Sw Birch St Ste 100 Newport Beach CA 92660-1778
Phone: (949) 345-5990
Fax: (888) 507-7138
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 95020355 California

Profile Details

NPI number 1831848795
LBN Legal business name Valencia, Mimie
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 19th, 2022
Last updated Oct 7th, 2025 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1831848795 NPPES
California Other 920340344 INTERNAL REVENUE SERVICES

Popular Providers