Provider Demographics
NPI:1447270418
Name:VICTORIA, XANTHE ZAFRA (MD)
Entity type:Individual
Prefix:
First Name:XANTHE
Middle Name:ZAFRA
Last Name:VICTORIA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:XANTHE
Other - Middle Name:YVONNE
Other - Last Name:ZAFRA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:10230 ARTESIA BLVD
Mailing Address - Street 2:SUITE 102
Mailing Address - City:BELLFLOWER
Mailing Address - State:CA
Mailing Address - Zip Code:90706-6763
Mailing Address - Country:US
Mailing Address - Phone:562-866-1764
Mailing Address - Fax:
Practice Address - Street 1:10230 ARTESIA BLVD
Practice Address - Street 2:SUITE 102
Practice Address - City:BELLFLOWER
Practice Address - State:CA
Practice Address - Zip Code:90706-6763
Practice Address - Country:US
Practice Address - Phone:562-866-1764
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-20
Last Update Date:2020-02-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA94865207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine