| Clinica La Victoria A Medical Corporation | |
|
3940 San Dimas St Bakersfield CA 93301-1458 | |
| (661) 322-2164 | |
| (661) 322-2178 |
| Full Name | Clinica La Victoria A Medical Corporation |
|---|---|
| Speciality | Family Medicine |
| Location | 3940 San Dimas St, Bakersfield, California |
| Authorized Official Name and Position | Juan Corona (OWNER) |
| Authorized Official Contact | 6613222164 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Clinica La Victoria A Medical Corporation 3940 San Dimas St Bakersfield CA 93301-1458 Ph: (661) 322-2164 | Clinica La Victoria A Medical Corporation 3940 San Dimas St Bakersfield CA 93301-1458 Ph: (661) 322-2164 |
| NPI Number | 1659733905 |
|---|---|
| Provider Enumeration Date | 03/25/2016 |
| Last Update Date | 03/25/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659733905 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | PA20231 (California) | Primary |
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