Victor Victorov, MD, Inc

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

License

A81715 Issued in CA

Legal business name

VICTOR VICTOROV, MD, INC

Practice address

21 Taylor Ave
Palm Desert, CA 92260-0603

Phone

(760) 323-6221

NPI assigned

Sep 14, 2010

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Victor Victorov, MD

Title

President

Phone

(760) 341-4178

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1284422400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1284422400000",
    "number": "1023326949",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21 TAYLOR AVE",
            "city": "PALM DESERT",
            "state": "CA",
            "postal_code": "922600603",
            "telephone_number": "760-341-4178"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21 TAYLOR AVE",
            "city": "PALM DESERT",
            "state": "CA",
            "postal_code": "922600603",
            "telephone_number": "760-323-6221"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VICTOR VICTOROV, MD, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-14",
        "last_updated": "2010-09-14",
        "status": "A",
        "authorized_official_last_name": "VICTOROV",
        "authorized_official_first_name": "VICTOR",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "760-341-4178",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology",
            "state": "CA",
            "license": "A81715",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Anesthesiology Physician in Palm Desert, CA
• Providers in Palm Desert, CA by specialty
• Anesthesiology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.