Provider Demographics
NPI:1336234905
Name:MLOTOK, VICTOR DAVID (MD)
Entity Type:Individual
Prefix:DR
First Name:VICTOR
Middle Name:DAVID
Last Name:MLOTOK
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Gender:M
Credentials:MD
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Mailing Address - Street 1:107 PARMAC ROAD
Mailing Address - Street 2:SUITE 2
Mailing Address - City:CHICO
Mailing Address - State:CA
Mailing Address - Zip Code:95926-2218
Mailing Address - Country:US
Mailing Address - Phone:530-891-2784
Mailing Address - Fax:530-891-2809
Practice Address - Street 1:107 PARMAC ROAD
Practice Address - Street 2:SUITE 2
Practice Address - City:CHICO
Practice Address - State:CA
Practice Address - Zip Code:95926-2218
Practice Address - Country:US
Practice Address - Phone:530-891-2784
Practice Address - Fax:530-891-2809
Is Sole Proprietor?:No
Enumeration Date:2006-10-03
Last Update Date:2007-07-08
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Provider Licenses
StateLicense IDTaxonomies
CAG173542084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAE93599Medicare UPIN