Healthcare Provider Details

I. General information

NPI: 1962357293
Provider Name (Legal Business Name): MRS. VICTORIA N HUERTA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: VICTORIA OROSCO

II. Dates (important events)

Enumeration Date: 03/02/2026
Last Update Date: 03/02/2026
Certification Date: 03/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4730 E LOWE AVE
FRESNO CA
93702-3918
US

IV. Provider business mailing address

5820 E ALTA AVE
FRESNO CA
93727-5501
US

V. Phone/Fax

Practice location:
  • Phone: 559-253-6480
  • Fax:
Mailing address:
  • Phone: 559-930-0202
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TS0200X
TaxonomySchool Psychologist
License Number220103297
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: