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Organization
CLINICA LA VICTORIA A MEDICAL CORPORATION
Active
Organization
CLINICA LA VICTORIA A MEDICAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JUAN CORONA P.A.C. (PROVIDER)
(661) 885-7007
Entity
Organization
Contact information
Practice address
2303 S UNION AVE, SUITE C2, BAKERSFIELD, CA 93307-4677
(661) 885-7007
(661) 735-3699
Mailing address
2303 S UNION AVE, SUITE C2, BAKERSFIELD, CA 93307-4677
(661) 885-7007
(661) 735-3699
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
—
CA
208D00000X
General Practice Physician
A61306
CA
208D00000X
General Practice Physician
Primary
—
CA
261QR0200X
Radiology Clinic/Center
—
—
Other
Enumeration date
01/18/2007
Last updated
02/13/2019
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