Joe, Victor
Joe, Victor is an individual health care provider with primary practice located at 400 N Pepper Ave Armc, Colton CA 92324. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Trauma Surgery. Allopathic & Osteopathic Physicians / Surgery is his primary health care specialty. Joe, Victor can be contacted via phone (909) 580-3353.Contact Information
Primary practice address
400 N Pepper Ave Armc
Colton CA 92324
Phone: (909) 580-3353
Fax: (909) 580-1363
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | A061858 | California |
| Allopathic & Osteopathic Physicians / Trauma Surgery | 2086S0127X | A061858 | California |
Profile Details
| NPI number | 1164539953 |
|---|---|
| LBN Legal business name | Joe, Victor |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 25th, 2006 |
| Last updated | Nov 2nd, 2010 - about 16 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1164539953 | NPPES |
| California | MEDICAID | GR0079700 |
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