Victor De La Rocha
Specialist in San Francisco, CA. Individual provider (NPI-1).
NPI number1164063905
StatusActive
Last updated in NPPESOct 2, 2019
Details
- NPI
- 1164063905
- Entity type
- Individual (NPI-1)
- Name
- Victor De La Rocha
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Oct 2, 2019
- Last updated
- Oct 2, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 174400000X | Specialist | – | – | Yes |
Practice location
815 Hyde St Ste 100San Francisco, CA 94109-5998
Phone 415-673-5700
Mailing address
815 Hyde St Ste 100San Francisco, CA 94109-5998
Phone 415-673-5700
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