| Doctor Name: | VICTOR A BRANKER |
| NPI Number: | 1396945754 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | PSY.D |
| License Number: | PSY15530 |
| Business Practice Address: | 5th St & N Western Ave Norco, CA - 92860 |
| Business Phone Number: | 9517372683 |
| Business Fax Number: | 9512732974 |
| Mailing Address: | California Rehabilitation Center P., 5th And Western Ave NORCO |
| State: | CA |
| Postal Code: | 928600991 |
| Phone Number: | 9517372683 |
| Fax Number: | 9512732974 |
| NPI Enumeration Date: | 07/23/2007 |
| NPI Last Update Date: | 07/23/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TC0700X |
| License Number: | PSY15530 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | |