Provider Demographics
NPI:1861561284
Name:OSCAR VICTORIA CORPORATION
Entity type:Organization
Organization Name:OSCAR VICTORIA CORPORATION
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:VICTORIA
Authorized Official - Middle Name:ESPEJO
Authorized Official - Last Name:RAPADAS
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:562-863-6627
Mailing Address - Street 1:12631 E. IMPERIAL HWY., SUITE B117-6
Mailing Address - Street 2:
Mailing Address - City:SANTA FE SPRINGS
Mailing Address - State:CA
Mailing Address - Zip Code:90670-4710
Mailing Address - Country:US
Mailing Address - Phone:562-863-6627
Mailing Address - Fax:562-863-6637
Practice Address - Street 1:12631 IMPERIAL HWY., SUITE B117-6
Practice Address - Street 2:
Practice Address - City:SANTA FE SPRINGS
Practice Address - State:CA
Practice Address - Zip Code:90670-4710
Practice Address - Country:US
Practice Address - Phone:562-863-6627
Practice Address - Fax:562-863-6637
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-07
Last Update Date:2007-07-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA058349Medicare Oscar/Certification