DR. RODOLFO VICTORIA (NPI# 1093102964) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093102964 |
| Entity Type | Individual |
| Full Name | DR. RODOLFO VICTORIA |
| Credential | PH.D. |
| Practice Address |
1000 Wilshire Blvd #240 Los Angeles CA 90017-2457 |
| Mailing Address |
3642 E 61st Pl Huntington Pk CA 90255-3231 |
| Practice Telephone | 4242011600 |
| Practice Fax Number | 4242011601 |
| Mailing Telephone | 3238106840 |
| Enumeration Date | 2015-04-18 |
| Last Update Date | 2015-04-18 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC1900X |
Psychologist Specialization: Counseling |
27039 | CA | Behavioral Health & Social Service Providers |
| Street Address |
1000 WILSHIRE BLVD #240 |
| City | LOS ANGELES |
| State | CA |
| Zip Code | 90017-2457 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043403785 | Andrew Jeremy Vandernoot | Psychologist | 1000 Wilshire Blvd, Suite 240, Los Angeles, CA 90017-2457 | 2007-08-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144833617 | Guadalupe Vallejo | Licensed Vocational Nurse | 515 Columbia Avenue, #200, 515 Columbia Avenue, Los Angeles, CA 90017 | 2020-08-25 |
| 1376181768 | Nirlok Corporation | Optometrist | 750 West 7th Street, Los Angeles, CA 90017 | 2019-12-16 |
| 1689228223 | Marycarmen Beltran | Student in an Organized Health Care Education/Training Program | 333 S. Beaudry Ave., Los Angeles, CA 90017 | 2019-08-01 |
| 1639661465 | Robin B Horowitz | Counselor | 333 South Beaudry Avenue, Los Angeles, CA 90017 | 2018-06-06 |
| 1710483797 | Rose Jadidian | Pharmacist | 701 S. Flower, Ste. 3150, Los Angeles, CA 90017 | 2018-03-30 |
| 1417469875 | Marykarla Gallegos | Case Manager/Care Coordinator | 1125 W. 6th St., Suite 103, Los Angeles, CA 90017 | 2017-10-25 |
| 1134646516 | Maria Salas | Rehabilitation Practitioner | 333 S Beaudry Ave., Los Angeles, CA 90017 | 2017-08-25 |
| 1932638202 | Butterfli Technologies Inc | Transportation Broker | 865 S Figueroa St Ste 2750, Los Angeles, CA 90017 | 2017-06-08 |
| 1316493125 | Phamily Love Foundation | Community/Behavioral Health | 626 Wilshire Blvd ., Suite 910, Los Angeles, CA 90017 | 2016-08-31 |
| 1215392188 | Jessica R. Garcia-hillard | Specialist/Technologist | 1111 W. 6th St., Suite 111, Los Angeles, CA 90017 | 2015-12-21 |
| Find all providers in zip 90017 | ||||
| Taxonomy Code | 103TC1900X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Counseling |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194322495 | Yong Sue Park | Psychologist | 1913 Wilshire Blvd, Los Angeles, CA 90057-3604 | 2020-10-08 |
| 1811594815 | Dena Schwimmer | Psychologist | 1227 S Genesee Ave, Los Angeles, CA 90019-2407 | 2020-10-03 |
| 1427684661 | Lucy Cotter | Psychologist | 205 N Larchmont Blvd, Los Angeles, CA 90004-3706 | 2020-03-19 |
| 1942831391 | Alise Cogger | Psychologist | 5026 Rosewood Ave Apt 403, Los Angeles, CA 90004-1795 | 2020-02-03 |
| 1962980201 | Brittany Nicole Beasley | Psychologist | 1031 W. 34th St., 3rd Floor, Suite 304, Los Angeles, CA 90089 | 2018-07-30 |
| 1699149484 | Rachel Kim | Psychologist | 639 N Broadway Apt 306, Los Angeles, CA 90012-4507 | 2015-11-17 |
| 1689068264 | Jeritt Ross Tucker | Psychologist | 700 S Flower St Ste 1000, Los Angeles, CA 90017-4112 | 2015-03-23 |
| 1831523901 | Sarah Arensman Miller | Psychologist | 11301 Wilshire Blvd. Bldg 256, Rm 106a, Va West Los Angeles (116b), Los Angeles, CA 90073 | 2013-08-26 |
| 1861746257 | Kathleen Watkins | Psychologist | 5616 Adale Pl, Los Angeles, CA 90043-2108 | 2012-11-06 |
| 1437379963 | Anne Vano | Psychologist | 8170 Beverly Blvd Ste 201, Los Angeles, CA 90048-4532 | 2007-04-26 |
| Find all providers in LOS ANGELES | ||||
| City | LOS ANGELES |
| Zip Code | 90017 |
Please comment or provide details below to improve the information on DR. RODOLFO VICTORIA.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.