Healthcare Provider Details

I. General information

NPI: 1952377210
Provider Name (Legal Business Name): VICTOR A SZANTO M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: X

II. Dates (important events)

Enumeration Date: 02/27/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

345 HICKORY ST
RED BLUFF CA
96080-2702
US

IV. Provider business mailing address

345 HICKORY ST
RED BLUFF CA
96080-2702
US

V. Phone/Fax

Practice location:
  • Phone: 530-529-4733
  • Fax: 530-529-1842
Mailing address:
  • Phone: 530-529-4733
  • Fax: 530-529-1842

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License NumberG618330
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: