Provider Demographics
NPI:1750501250
Name:SULIT, VICTOR F (MD, MPH)
Entity Type:Individual
Prefix:
First Name:VICTOR
Middle Name:F
Last Name:SULIT
Suffix:
Gender:M
Credentials:MD, MPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:17330 BEAR VALLEY RD
Mailing Address - Street 2:SUITE 106 A
Mailing Address - City:VICTORVILLE
Mailing Address - State:CA
Mailing Address - Zip Code:92395-7741
Mailing Address - Country:US
Mailing Address - Phone:760-962-1450
Mailing Address - Fax:
Practice Address - Street 1:17330 BEAR VALLEY RD
Practice Address - Street 2:SUITE 106 A
Practice Address - City:VICTORVILLE
Practice Address - State:CA
Practice Address - Zip Code:92395-7741
Practice Address - Country:US
Practice Address - Phone:760-962-1450
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-04-26
Last Update Date:2008-02-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA645642083X0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2083X0100XAllopathic & Osteopathic PhysiciansPreventive MedicineOccupational Medicine