Healthcare Provider Details

I. General information

NPI: 1760150957
Provider Name (Legal Business Name): VICTOR ALLEN ZIEGLER ASW
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/01/2021
Last Update Date: 05/12/2026
Certification Date: 05/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1149 S HILL ST STE 600
LOS ANGELES CA
90015-2895
US

IV. Provider business mailing address

1012 W BEVERLY BLVD # 323
MONTEBELLO CA
90640-4139
US

V. Phone/Fax

Practice location:
  • Phone: 818-261-0005
  • Fax:
Mailing address:
  • Phone: 818-261-0005
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code104100000X
TaxonomySocial Worker
License Number109555
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number136277
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: