Individual provider · Type 1 NPI

Gustavo Victoria, PA

Physician Assistant · Los Angeles, CA

NPI number 1962997973 Active

Practice location

2801 S San Pedro St
Los Angeles, CA 90011-2023

Fax (323) 233-3124

Mailing address

14924 S Castlegate Ave
East Rancho Dominguez, CA 90221-3024

Other practice locations

  • 1005 E Washington Blvd Ste A, Los Angeles, CA 90021-3082 · (323) 233-3100

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant 363A00000X55687 (CA)
Physician Assistant Primary 363A00000XPA55687 (CA)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1962997973

Gustavo Victoria, PA's National Provider Identifier is 1962997973, issued on Jun 22, 2018. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Los Angeles, CA. The record was last updated on Jan 7, 2019.