Provider Demographics
NPI:1356554554
Name:JAMES, VICTOR LAMARR
Entity type:Individual
Prefix:MR
First Name:VICTOR
Middle Name:LAMARR
Last Name:JAMES
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6335 MYRTLE AVE
Mailing Address - Street 2:
Mailing Address - City:LONG BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:90805-2430
Mailing Address - Country:US
Mailing Address - Phone:562-570-3275
Mailing Address - Fax:562-570-1266
Practice Address - Street 1:6335 MYRTLE AVE
Practice Address - Street 2:
Practice Address - City:LONG BEACH
Practice Address - State:CA
Practice Address - Zip Code:90805-2430
Practice Address - Country:US
Practice Address - Phone:562-570-3275
Practice Address - Fax:562-570-1266
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-07
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management