# VICTORIA MEDICAL LLC

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

## Provider details

- **NPI number:** 1245569847
- **Authorized official:** MR. LEON GELFAND (SOLE MEMBER)
- **Authorized official phone:** (505) 265-4000

## Contact information

- **Practice address:** 927 SAN PEDRO DR SE STE B, ALBUQUERQUE, NM 87108-4981
- **Practice address phone:** (505) 265-4000
- **Mailing address:** 927 SAN PEDRO DR SE STE B, ALBUQUERQUE, NM 87108-4981
- **Mailing address phone:** (505) 265-4000

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QR0401X | Comprehensive Outpatient Rehabilitation Facility (CORF) | — | NULL | Yes |

## Other

- **Enumeration date:** 12/10/2009
- **Last updated:** 12/10/2009