Organization
VICTORY PERFORMANCE AND PHYSICAL THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SANTO RIVA (PRESIDENT)
(310) 775-0558
Entity
Organization
Contact information
Practice address
11461 W WASHINGTON BLVD STE 1, LOS ANGELES, CA 90066-6014
(310) 775-0558
Mailing address
10458 LORENZO PL, LOS ANGELES, CA 90064-4451
(310) 775-0558
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
PT37934
CA
Other
Enumeration date
08/24/2017
Last updated
03/17/2018
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