Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mr. Gustavo Victoria, PA

Individual provider Physician Assistant · NPI 1962997973

Mr. Gustavo Victoria, PA is a Physician Assistant in Los Angeles, California. Practices as a sole proprietor and works from 2 locations. Licensed in California.

Licensed in
CA
In the registry since
2018
Specialties on file
2
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

See every abbreviation used in this directory →

Practice location Address checks out

2801 S San Pedro St
Los Angeles, CA 90011-2023
Phone: (323) 233-3100
Fax: (323) 233-3124
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1005 E Washington Blvd Ste A, Los Angeles, CA 90021-3082 — (323) 233-3100

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA55687 (CA)
Physician Assistant Taxonomy 363A00000X · Licence 55687 (CA)

Record details

NPI number1962997973
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorYes
NPI enumeratedJune 22, 2018
Last updated in NPPESJanuary 7, 2019

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