DR. VICTORIA LYNN DUNCKLEY (NPI# 1093807000) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093807000 |
| Entity Type | Individual |
| Full Name | DR. VICTORIA LYNN DUNCKLEY |
| Credential | M.D. |
| Practice Address |
909 Electric Ave Ste 302b Seal Beach CA 90740-6336 |
| Mailing Address |
4116 E 11th St Long Beach CA 90804-4239 |
| Practice Telephone | 7149264796 |
| Enumeration Date | 2006-09-28 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 2084P0005X |
Psychiatry & Neurology Specialization: Neurodevelopmental Disabilities |
A64148 | CA | Allopathic & Osteopathic Physicians |
| X | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
A64148 | CA | Allopathic & Osteopathic Physicians |
| X | 2084P0804X |
Psychiatry & Neurology Specialization: Child & Adolescent Psychiatry |
A64148 | CA | Allopathic & Osteopathic Physicians |
| Street Address |
909 ELECTRIC AVE STE 302B |
| City | SEAL BEACH |
| State | CA |
| Zip Code | 90740-6336 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518986694 | Tao Sha Phalen | Acupuncturist | 909 Electric Ave, #312, Seal Beach, CA 90740 | 2006-07-19 |
| 1336386812 | Natalie King Wilson | Chiropractor | 909 Electric Ave, #305, Seal Beach, CA 90740-6336 | 2009-01-20 |
| 1770684979 | Sandra Lee Smith | Psychologist | 909 Electric Ave, Suite 212, Seal Beach, CA 90740-6336 | 2006-09-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013564608 | Betty Lou Halloran | Technician | 1320 Kenwood Rd 158g, Seal Beach, CA 90740 | 2019-08-20 |
| 1235794975 | Elizabeth Irene Williams | Behavior Technician | 30002 Dow Ave #122, Tustin, CA 90740 | 2019-05-08 |
| 1679994834 | Alexis Worth | Nurse Practitioner | 1305 Catalina Ave., Seal Beach, CA 90740 | 2013-12-13 |
| 1386074128 | Santa Ana Hospice Inc | Hospice Care, Community Based | 610 Pacific Coast Hwy Ste 211, Seal Beach, CA 90740 | 2013-11-14 |
| 1902242019 | Bernard Georges Gantes | Dentist | 2999 Westminster, Suite 108, Seal Beach, CA 90740 | 2013-05-15 |
| 1144592064 | Brooke Ashley Pancer | Dentist | 2999 Westminster Blvd Seal Beach Dental Implants, Seal Beach, CA 90740 | 2012-02-08 |
| 1003187808 | Justin Cheongsiatmoy | Psychiatry & Neurology | 1301 Kenwood Road, Suite 159b, Seal Beach, CA 90740 | 2012-01-25 |
| 1386912830 | A Peace of Mind Home Care LLC | In Home Supportive Care | 1050 Electric Ave, Suite 308-1, Seal Beach, CA 90740 | 2011-12-12 |
| 1770888430 | Kathleen Cleary Adamovic | Marriage & Family Therapist | 500 Pacific Coast Highway, Suite 214, Seal Beach, CA 90740 | 2011-01-11 |
| 1710218177 | Misty Oppenheim-leaf | Behavioral Analyst | 200 Marina Drive, Suite C, Seal Beach, CA 90740 | 2010-01-26 |
| Find all providers in zip 90740 | ||||
| Taxonomy Code | 2084P0005X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Neurodevelopmental Disabilities |
| A pediatrician or neurologist who specializes in the diagnosis and management of chronic conditions that affect the developing and mature nervous system such as cerebral palsy, mental retardation and chronic behavioral syndromes, or neurologic conditions. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition changed, source added] Additional Resources: American Board of Psychiatry and Neurology, 2007. http://www.abpn.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Psychiatry and Neurology. A subspecialty certificate for NDN was approved by the ABMS in 1999. ACGME Accredited Residency Program Requirements: Ongoing early discussions regarding proposal. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811155161 | Joshua Daniel Feder | Psychiatry & Neurology | 415 N Highway 101, Solana Beach, CA 92075-1172 | 2008-05-22 |
| 1700985413 | Lynne R. Mielke | Psychiatry & Neurology | 4463 Stoneridge Dr Ste A, Pleasanton, CA 94588-8402 | 2006-09-21 |
| 1760587141 | Mark Kaplan | Psychiatry & Neurology | 3575 Cahuenga Blvd W, 243, Los Angeles, CA 90068-1366 | 2006-09-13 |
| 1649208638 | Diane W Kecskes | Psychiatry & Neurology | 3796 N Fresno St, Suite # 104, Fresno, CA 93726-5500 | 2006-06-29 |
| 1811949399 | Richard Joseph Chadwin | Psychiatry & Neurology | 690 Hudson Ct, Sonoma, CA 95476 | 2006-05-16 |
| 1619188315 | Ange J Lobue | Psychiatry & Neurology | 525 2nd St, Suite 300, Eureka, CA 95501-0437 | 2007-05-24 |
| 1932233996 | Sabira Saifuddin | Psychiatry & Neurology | 2660 Townsgate Rd, Suite 780, Westlake Village, CA 91361-2714 | 2007-03-14 |
| 1528100021 | Michael Sean Marcin | Psychiatry & Neurology | 401 Parnassus Ave, Box-0984 Hos, San Francisco, CA 94143-2211 | 2007-02-12 |
| 1881796811 | Regents of The University of California - Ucsd Medical Group | Psychiatry & Neurology | 200 West Arbor Drive, Mc-8201 Attn: Provider Enrollment Department, San Diego, CA 92103-8201 | 2006-09-01 |
| City | SEAL BEACH |
| Zip Code | 90740 |
Please comment or provide details below to improve the information on DR. VICTORIA LYNN DUNCKLEY.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.