VICTOR ALEX OLID

ENCINO, CA
NPI1962878611
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy302F00000X Exclusive Provider Organization
Enumeration Date2015-08-18
Last Update Date2015-08-18
Business Address
-- VICTOR ALEX OLID
16500 VENTURA BLVD 414
ENCINO, CA 91436-2011
Phone number: 818-788-1003
Mailing Address
-- VICTOR ALEX OLID
17211 CHATSWORTH ST 13
GRANADA HILLS, CA 91344-5774
Phone number: 818-277-8925