# CLINICA LA VICTORIA A MEDICAL CORPORATION

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1184777922
- **Authorized official:** JUAN CORONA P.A.C. (PROVIDER)
- **Authorized official phone:** (661) 885-7007

## Contact information

- **Practice address:** 2303 S UNION AVE, SUITE C2, BAKERSFIELD, CA 93307-4677
- **Practice address phone:** (661) 885-7007
- **Practice address fax:** (661) 735-3699
- **Mailing address:** 2303 S UNION AVE, SUITE C2, BAKERSFIELD, CA 93307-4677
- **Mailing address phone:** (661) 885-7007
- **Mailing address fax:** (661) 735-3699

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | — | CA | — |
| 208D00000X | General Practice Physician | A61306 | CA | — |
| 208D00000X | General Practice Physician | — | CA | Yes |
| 261QR0200X | Radiology Clinic/Center | — | — | — |

## Other

- **Enumeration date:** 01/18/2007
- **Last updated:** 02/13/2019