Organization Active NPI

Victor Medical Group, Inc.

  • Internal Medicine Physician
  • Alhambra, CA
National Provider Identifier
1578842407
Registry record updated Oct 4, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
A111657 Issued in CA
Legal business name
VICTOR MEDICAL GROUP, INC.
Practice address
1001 S. Garfield Ave
Alhambra, CA 91801
Phone
(714) 612-9309
NPI assigned
Aug 9, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 4, 2012

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

Authorized official

Name
Dr. Victor Nguyen Le, M.D.
Title
Owner
Phone
(714) 612-9309

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X A111657 CA Primary

Addresses

Primary practice location

1001 S. Garfield Ave
Alhambra, CA 91801

Mailing address

PO Box 9195
Fountain Valley, CA 92728-9195
Phone (714) 612-9309

National Provider Directory

National Provider Directory

Locations

1700 E Cesar E Chavez Ave
Ste 3300
Los Angeles, CA 90033
Phone (323) 264-2132

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1312848000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1349308800000",
    "number": "1578842407",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 9195",
            "city": "FOUNTAIN VALLEY",
            "state": "CA",
            "postal_code": "927289195",
            "telephone_number": "714-612-9309"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 S. GARFIELD AVE",
            "city": "ALHAMBRA",
            "state": "CA",
            "postal_code": "91801",
            "telephone_number": "714-612-9309"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VICTOR MEDICAL GROUP, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-09",
        "last_updated": "2012-10-04",
        "status": "A",
        "authorized_official_last_name": "LE",
        "authorized_official_first_name": "VICTOR",
        "authorized_official_middle_name": "NGUYEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "714-612-9309",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A111657",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Alhambra, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2012; 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.