| Victoria Medical Associates Inc | |
|
5451 La Palma Ave Ste 15 La Palma CA 90623-1758 | |
| (714) 230-8716 | |
| (714) 735-8762 |
| Full Name | Victoria Medical Associates Inc |
|---|---|
| Speciality | Family Medicine |
| Location | 5451 La Palma Ave Ste 15, La Palma, California |
| Authorized Official Name and Position | Xanthe Victoria (DIRECTOR) |
| Authorized Official Contact | 7142308716 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Victoria Medical Associates Inc 5451 La Palma Ave Ste 15 La Palma CA 90623-1758 Ph: (714) 230-8716 | Victoria Medical Associates Inc 5451 La Palma Ave Ste 15 La Palma CA 90623-1758 Ph: (714) 230-8716 |
| NPI Number | 1265071195 |
|---|---|
| Provider Enumeration Date | 12/23/2019 |
| Last Update Date | 12/23/2019 |
| Medicare PECOS PAC ID | 4981075074 |
|---|---|
| Medicare Enrollment ID | O20230127002808 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265071195 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207QG0300X | Family Medicine - Geriatric Medicine | (* (Not Available)) | Primary |
| Provider Name | Xanthe Victoria |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1447270418 PECOS PAC ID: 0547362964 Enrollment ID: I20070302000262 |
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