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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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 15 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1164539953 NPPES
California MEDICAID GR0079700

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