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General NPI Number Information
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NPI Number | 1003148222
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Entity Type | Organization
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Legal Business Name | VICTORIA R. OIRA MD, FAAP, INC.
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Dates
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Enumeration Date | 02/12/2010
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Last Update Date | 02/12/2010
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Provider Practice Location Address
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Address Line | 890 EASTLAKE PKWY 203
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City | CHULA VISTA
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State | CA
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Zip | 91914-4520
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Country | US
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Telephone | 619-656-3020
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Fax | 619-656-3019
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Provider Business Mailing Address
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Address Line | 890 EASTLAKE PKWY 203
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City | CHULA VISTA
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State | CA
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Zip | 91914-4520
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Country | US
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Telephone | 619-656-3020
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Fax | 619-656-3019
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. VICTORIA RAMOS OIRA
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Credential | MD
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Telephone | 619-656-3020
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | A051972
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License Number State | CA
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