| Doctor Name: | VICTOR CORDOVA |
| NPI Number: | 1043642341 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | M.A. |
| License Number: | |
| Business Practice Address: | 3535 Inland Empire Blvd Suite 36 Ontario, CA - 917644908 |
| Business Phone Number: | 8556691202 |
| Business Fax Number: | 9095430845 |
| Mailing Address: | 3535 Inland Empire Blvd, Suite 36 ONTARIO |
| State: | CA |
| Postal Code: | 917644908 |
| Phone Number: | 8556691202 |
| Fax Number: | 9095430845 |
| NPI Enumeration Date: | 08/08/2013 |
| NPI Last Update Date: | 08/07/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |