Victoria a Menchaca PHD a Psychological Corporation

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

License

PSY10969 Issued in CA

Legal business name

VICTORIA A MENCHACA PHD A PSYCHOLOGICAL CORPORATION

Practice address

265 S. Western Ave
Suite 741808
Los Angeles, CA 90004-8808

Phone

(323) 938-0748

NPI assigned

Feb 3, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Victoria Ann Menchaca, PH.D.

Title

President

Phone

(323) 938-0748

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

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

{
    "created_epoch": "1233619200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1420675200000",
    "number": "1356589055",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 741808",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900048808",
            "telephone_number": "323-938-0748"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "265 S. WESTERN AVE",
            "address_2": "SUITE 741808",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900048808",
            "telephone_number": "323-938-0748"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VICTORIA A MENCHACA PHD A PSYCHOLOGICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-02-03",
        "last_updated": "2015-01-08",
        "status": "A",
        "authorized_official_last_name": "MENCHACA",
        "authorized_official_first_name": "VICTORIA",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "323-938-0748",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "CA",
            "license": "PSY10969",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CA PSYCHOLOGY LICENSURE",
            "identifier": "PSY10969",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PSY109690",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Gabriella Lucille Victor, MD, MPH
• Jacqueline Nguyen Victor
• Madison Victor, MPH
• Marylee Victor
• Tara L Victor, PHD
• Victoria Home Health Nursing Agency, Inc.
• Victoria Lucas Professional Chiropractic Corporation
• Victoria Nellie Afriyie
• Esmeralda Victoria
• Gustavo Victoria, PA

• Mental Health Clinic/Center (Including Community Mental Health Center) in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2015; 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.