Victoria Chambers
Individual provider Active NPI Contractor · Lake Forest, CA
NPI 1043050388 · NPPES record last updated May 24, 2024
Key facts
- NPI
- 1043050388
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Contractor 171W00000X
- Practice address
- 22159 Rimhurst Dr Apt 8
Lake Forest, CA 92630-5954 - Phone
- (949) 533-0313
- NPI assigned
- May 24, 2024
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pacific Genomics, LLC | Current | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Contractor | 171W00000X | Yes |
Addresses
Primary practice location
22159 Rimhurst Dr Apt 8
Lake Forest, CA 92630-5954
Mailing address
22159 Rimhurst Dr Apt 8
Lake Forest, CA 92630-5954
Phone (949) 533-0313
Other providers in Lake Forest, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 24, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.