Organization
CLINICA LA VICTORIA AMC
Active
Parent organization
CLINICA LA VICTORIA AMC
Other names
La Victoria Women and Children's Center
Organization subpart
Yes
Provider details
NPI number
Legal business name
CLINICA LA VICTORIA AMC
Authorized official
JUAN CORONA PAC (PROVIDER)
(661) 835-2600
Entity
Organization
Contact information
Practice address
2303 S UNION AVE, SUITE E9, BAKERSFIELD, CA 93307
(661) 835-2600
(661) 835-2603
Mailing address
2303 S UNION AVE, SUITE E9, BAKERSFIELD, CA 93307
(661) 835-2600
(661) 835-2603
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1184777922
NPI TO MAIN CORP
CA
Enumeration date
02/11/2019
Last updated
02/11/2019
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