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CLINICA LA VICTORIA A MEDICAL CORPORATION NPI 1184777922


NPI Information

NPI: 1184777922
Provider Name: CLINICA LA VICTORIA A MEDICAL CORPORATION
Classification: General Practice - 208D00000X
Entity Type: Organization

CLIA Number: 05D0958984

Address:
2303 S UNION AVE
SUITE C2
BAKERSFIELD, CA
ZIP 93307
Phone: (661) 885-7007
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CLINICA LA VICTORIA A MEDICAL CORPORATION is a general practice in Bakersfield, CA. CLINICA LA VICTORIA A MEDICAL CORPORATION NPI is 1184777922. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

2303 S UNION AVE
SUITE C2
BAKERSFIELD, CA
ZIP 93307-677
Phone: (661) 885-7007
Fax: (661) 735-3699

The provider's authorized official is Juan Corona .
The authorized official title is Provider and has the following contact phone number (661) 885-7007.

The CLIA number assigned to this NPI record is 05D0958984 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 1/18/2007 and was last updated on 2/13/2019.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207V00000XObstetrics & GynecologyCALIFORNIANo
2208D00000XGeneral PracticeA61306CALIFORNIANo
3261QR0200XClinic/CenterRadiologyNo
4208D00000XGeneral PracticeCALIFORNIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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