Viktor Yetimovich Kagan

NPI 1700821410 - Psychologist - 103TC0700X

NPI Details
NPI 1700821410
Gender Male
Enumeration Date 06/17/2006
Last Updated 08/09/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
4715 VIEWRIDGE AVE
230
SAN DIEGO CA, 92123-1658, US
Phone (800) 257-8715
Fax (800) 819-1655
Business Location
PO BOX 835062
RICHARDSON TX, 75083-5062, US
Phone (214) 796-8765
Fax
Toxanomy
Taxonomy Code 103TC0700X
License State Texas
License Number 32375
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According to our database, Dr. Viktor Yetimovich Kagan NPI is 1700821410, taxonomy code is 103TC0700X and license number is 32375, license state is located at Texas. Viktor Yetimovich Kagan physically located at 4715 Viewridge Ave, San Diego CA, 92123-1658. NPI Number Viktor Yetimovich Kagan has the Individual type.

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1700821410 NPI number is provided on an as is basis without warranty of any kind. 1700821410 is maintained by the National Plan & Provider Enumeration System. The contents of Viktor Yetimovich Kagan are for informational purposes only.