Provider Demographics
NPI:1346667649
Name:VICTORIA CONSULTING SERVICES
Entity Type:Organization
Organization Name:VICTORIA CONSULTING SERVICES
Other - Org Name:VIVA HEALTHY LIFE - THE CENTER FOR HOLISTIC MEDICINE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:VICTOR
Authorized Official - Middle Name:
Authorized Official - Last Name:TSAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:267-403-3085
Mailing Address - Street 1:110 KAREN RD
Mailing Address - Street 2:
Mailing Address - City:SOUTHAMPTON
Mailing Address - State:PA
Mailing Address - Zip Code:18966-2434
Mailing Address - Country:US
Mailing Address - Phone:267-403-3085
Mailing Address - Fax:866-359-6528
Practice Address - Street 1:9922 ROOSEVELT BLVD
Practice Address - Street 2:
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19115-1705
Practice Address - Country:US
Practice Address - Phone:267-403-3085
Practice Address - Fax:866-359-6528
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-03-25
Last Update Date:2014-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAAK-001-022261QP3300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP3300XAmbulatory Health Care FacilitiesClinic/CenterPain