Most Relevant Information
Provider Data
  | NPI Number: | 1003586827 | 
| Provider Name: | VICTORIA LIEKO ESTEP RADT | 
| Entity Type: | Individual | 
| Taxonomy Code: | 171M00000X | 
| Specialty: | Case Manager/Care Coordinator | 
| License Number: | 
Most Important Dates
  | Enumeration Date: | 09/14/2021 | 
| Last Updated: | 09/14/2021 | 
Provider Practice Location
  1100 SPORTFISHER DR
      
      OCEANSIDE
      CA
      920542550
  Practice Location Phone/Fax
      | Phone: | 7604396702 | 
| Fax: | 7604395779 | 
Provider Mailing Location
  1100 SPORTFISHER DR
      
      OCEANSIDE
      CA
      920542550
  Provider Mailing Phone/Fax
      | Phone: | 7604396702 | 
| Fax: | 7604395779 |