Victor Ray Cordova, is a
Rehabilitation Practitioner based in Loomis, California. Victor Ray Cordova is licensed to practice in NU (license number ) and his current practice location is
5980 Webb St, Loomis, California. He can be reached at his office (for appointments etc.) via phone at
(916) 652-0171.
NPI number for Victor Ray Cordova is 1689417750 and his current mailing address is 5980 Webb St, Loomis, California. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1689417750.
Healthcare Provider's Profile
| Full Name | Victor Ray Cordova |
|---|
| Gender | Male |
|---|
| Speciality | Rehabilitation Practitioner |
|---|
| Location | 5980 Webb St, Loomis, California |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1689417750
- Provider Enumeration Date: 06/17/2024
- Last Update Date: 04/24/2025
Medical Identifiers
Medical identifiers for Victor Ray Cordova such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1689417750 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 101YM0800X | Counselor - Mental Health | (NU) | Secondary |
| 225400000X | Rehabilitation Practitioner | (NU) | Primary |
| 171M00000X | Case Manager/care Coordinator | (NU) | Secondary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Victor Ray Cordova is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
Victor Ray Cordova, 5980 Webb St, Loomis, CA 95650-7625 Ph: (916) 652-0171 | Victor Ray Cordova, 5980 Webb St, Loomis, CA 95650-7625 Ph: (916) 652-0171 |
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