Mario Walther Victor in Los Altos - Clinical
Mario Walther Victor - NPI 1093853103
Mario Walther Victor is a Clinical in Los Altos, California. Mario Walther Victor practices all healthcare services and medical treatments related to Clinical. The NPI Number for Mario Walther Victor is 1093853103. The last update date is 2023-05-02.
Mario Walther Victor's current location address is 325 Distel Cir, Los Altos, California. You can contact this provider via phone number 5104982890. The mailing address for Mario Walther Victor is 325 Distel Cir, Los Altos, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mario Walther Victor |
|---|---|
| Address | 325 Distel Cir, Los Altos, California |
| Phone Number | 5104982890 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | MSW |
NPI Number Detail
| NPI Number | 1093853103 |
|---|---|
| Provider Enumeration Date | 2007-02-01 |
| Last Updated Date | 2023-05-02 |
Provider Mailing Address Detail
| Address | 325 Distel Cir |
|---|---|
| City | Los Altos |
| State | California (CA) |
| Post Code | 940221408 |
| Phone Number | 5104982890 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | 20292 |
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Definition: A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certif |
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What is the unique identifier code issued to Mario Walther Victor by the Centers for Medicare & Medicaid Services?
The Mario Walther Victor has been assigned the NPI (National Provider Identifier) 1093853103. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Mario Walther Victor's physical address?
The Mario Walther Victor is physically located at 325 Distel Cir, in the city of Los Altos, CA, with the postal code 940221408.
What is the Mario Walther Victor's area of specialization and corresponding taxonomy classification?
The Mario Walther Victor's specialty field is Clinical, and it falls under the taxonomy code 1041C0700X, which categorizes healthcare providers based on their specialties.
On what date did the Centers for Medicare & Medicaid Services issue the 1093853103 to Mario Walther Victor?
The Mario Walther Victor received its 1093853103 assignment from the Centers for Medicare & Medicaid Services on 2007-02-01.
When was the information regarding Mario Walther Victor, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Mario Walther Victor, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2023-05-02.
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