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NPI Code Detail

MEDICARE: DR. VICTORIA T. DO PH.D.

MEDICARE: DR. VICTORIA T. DO PH.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1103T00000XPsychologist

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1ENK 1899OTHERCALA DEPT. OF MENTAL HEALTH

General Provider Information

NPI Number : 1215062096
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. VICTORIA T. DO PH.D.
Provider Business Mailing Address
First Line : 911 MONTEREY AVE APT 18
Second Line :
City : MONROVIA
State : CA
Zip : 91016-3251
Country : US
Telephone Number : 626-256-6191
Fax Number :
Provider Business Practice Location Address
First Line : 1000 GOODRICH BLVD
Second Line :
City : COMMERCE
State : CA
Zip : 90022-5103
Country : US
Telephone Number : 323-832-9795
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/22/2007
Last Update Date : 07/08/2007

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Directions to “ DR. VICTORIA T. DO PH.D.” Practice Location

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