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Gustavo Victoria, PA
NPI 1962997973 · on the registry since 2018 · sole proprietor
Practice
- Address
- 2801 S San Pedro St
Los Angeles, CA 90011 - Phone
- (323) 233-3100
- Fax
- (323) 233-3124
- Organisation at this address
- Universal Community Health Center
Universal Community Health CenterInferred from a shared address, not stated in the registry. - Clinicians at this address
- 12
Additional practice sites
- 1005 E Washington Blvd Ste A, Los Angeles, CA
Registry record
- Primary taxonomy
- Physician Assistant
363A00000X
- Also registered as
- Physician Assistant
- Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2019-01-07
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California