Organization · Type 2 NPI
Victory Village Inc
General Practice Physician · Jackson, CA
NPI number
1871490953
Active
Practice location
12408 Kennedy Flat Rd
Jackson, CA 95642-9576
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| General Practice Physician Primary | 208D00000X | None listed |
General Practice Physician: A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.
About NPI 1871490953
Victory Village Inc's National Provider Identifier is 1871490953, issued on Oct 22, 2026. The primary taxonomy on file is General Practice Physician (208D00000X), and the practice location is in Jackson, CA. The record was last updated on Oct 22, 2026.