Provider Demographics
NPI:1003148222
Name:VICTORIA R. OIRA MD, FAAP, INC.
Entity Type:Organization
Organization Name:VICTORIA R. OIRA MD, FAAP, INC.
Other - Org Name:VICTORIA R. OIRA MD. FAAC, INC
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:VICTORIA
Authorized Official - Middle Name:RAMOS
Authorized Official - Last Name:OIRA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:619-656-3020
Mailing Address - Street 1:890 EASTLAKE PKWY
Mailing Address - Street 2:203
Mailing Address - City:CHULA VISTA
Mailing Address - State:CA
Mailing Address - Zip Code:91914-4520
Mailing Address - Country:US
Mailing Address - Phone:619-656-3020
Mailing Address - Fax:619-656-3019
Practice Address - Street 1:890 EASTLAKE PKWY
Practice Address - Street 2:203
Practice Address - City:CHULA VISTA
Practice Address - State:CA
Practice Address - Zip Code:91914-4520
Practice Address - Country:US
Practice Address - Phone:619-656-3020
Practice Address - Fax:619-656-3019
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-02-12
Last Update Date:2010-02-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA051972208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208000000XAllopathic & Osteopathic PhysiciansPediatricsGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA1134172448Medicaid