Provider Demographics
NPI:1285968370
Name:MCDONALD, VICTORIA SHOKO DIVIS (MD)
Entity type:Individual
Prefix:DR
First Name:VICTORIA
Middle Name:SHOKO DIVIS
Last Name:MCDONALD
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:PO BOX 555191
Mailing Address - Street 2:
Mailing Address - City:CAMP PENDLETON
Mailing Address - State:CA
Mailing Address - Zip Code:92055-5191
Mailing Address - Country:US
Mailing Address - Phone:760-725-1356
Mailing Address - Fax:760-725-0117
Practice Address - Street 1:200 MERCY CIRCLE
Practice Address - Street 2:GENERAL SURGERY CLINIC
Practice Address - City:CAMP PENDLETON
Practice Address - State:CA
Practice Address - Zip Code:92055
Practice Address - Country:US
Practice Address - Phone:760-725-1356
Practice Address - Fax:760-725-0117
Is Sole Proprietor?:No
Enumeration Date:2009-09-23
Last Update Date:2023-12-28
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Provider Licenses
StateLicense IDTaxonomies
IN01068547A208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery