Sean Victoria, is a
Occupational Therapy Assistant based in Baldwin Park, California. Sean Victoria is licensed to practice in California (license number 3427) and his current practice location is
3541 Puente Ave, Baldwin Park, California. He can be reached at his office (for appointments etc.) via phone at
(626) 962-1043.
NPI number for Sean Victoria is 1295190866 and his current mailing address is 2981 Crooked Creek Dr, Diamond Bar, California. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1295190866.
Provider's Profile
Full Name | Sean Victoria |
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Gender | Male |
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Speciality | Occupational Therapy Assistant |
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Location | 3541 Puente Ave, Baldwin Park, California |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1295190866
- Provider Enumeration Date: 12/23/2015
- Last Update Date: 12/23/2015
Medical Identifiers
Medical identifiers for Sean Victoria such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1295190866 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
164X00000X | Licensed Vocational Nurse | 260569 (California) | Secondary |
224Z00000X | Occupational Therapy Assistant | 3427 (California) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Sean Victoria is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Sean Victoria, 2981 Crooked Creek Dr, Diamond Bar, CA 91765-3408 Ph: () - | Sean Victoria, 3541 Puente Ave, Baldwin Park, CA 91706-5534 Ph: (626) 962-1043 |
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