Individual
VICTOR ALEX OLID
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
16500 VENTURA BLVD, 414, ENCINO, CA 91436-2011
(818) 788-1003
Mailing address
17211 CHATSWORTH ST, 13, GRANADA HILLS, CA 91344-5774
(818) 277-8925
Taxonomy
Speciality
Code
Description
License number
State
302F00000X
Exclusive Provider Organization
Primary
—
—
Other
Enumeration date
08/18/2015
Last updated
08/18/2015
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