Organization
CLINICA LA VICTORIA A MEDICAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JUAN CORONA PA (OWNER)
(661) 322-2164
Entity
Organization
Contact information
Practice address
3940 SAN DIMAS ST, BAKERSFIELD, CA 93301-1458
(661) 322-2164
(661) 322-2178
Mailing address
3940 SAN DIMAS ST, BAKERSFIELD, CA 93301-1458
(661) 322-2164
(661) 322-2178
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
PA20231
CA
Other
Enumeration date
03/25/2016
Last updated
03/25/2016
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