Provider Demographics
NPI:1003957184
Name:ALTERESCU, VICTOR (RN)
Entity Type:Individual
Prefix:
First Name:VICTOR
Middle Name:
Last Name:ALTERESCU
Suffix:
Gender:M
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5934 CHABOT CRST
Mailing Address - Street 2:
Mailing Address - City:OAKLAND
Mailing Address - State:CA
Mailing Address - Zip Code:94618-1932
Mailing Address - Country:US
Mailing Address - Phone:510-428-1573
Mailing Address - Fax:510-428-1053
Practice Address - Street 1:5934 CHABOT CRST
Practice Address - Street 2:
Practice Address - City:OAKLAND
Practice Address - State:CA
Practice Address - Zip Code:94618-1932
Practice Address - Country:US
Practice Address - Phone:510-428-1573
Practice Address - Fax:510-428-1053
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-09
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA296494163WE0900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WE0900XNursing Service ProvidersRegistered NurseEnterostomal Therapy