MEDICARE: VICTORIA C STEWART

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
1	225700000X	Massage Therapist	89186	CA

General Provider Information

NPI Number	:	1619816386
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	VICTORIA C STEWART

Provider Business Mailing Address
First Line	:	23456 OTTAWA RD SPC 83
Second Line	:
City	:	APPLE VALLEY
State	:	CA
Zip	:	92308-6632
Country	:	US
Telephone Number	:	442-364-4713
Fax Number	:

Provider Business Practice Location Address
First Line	:	23456 OTTAWA RD SPC 83
Second Line	:
City	:	APPLE VALLEY
State	:	CA
Zip	:	92308-6632
Country	:	US
Telephone Number	:	442-364-4713
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/26/2026
Last Update Date	:	03/26/2026

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Directions to “ VICTORIA C STEWART ” Practice Location

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