Healthcare Provider Details

I. General information

NPI: 1972064350
Provider Name (Legal Business Name): JUDY K ORANIKA MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/27/2019
Last Update Date: 04/24/2023
Certification Date: 04/24/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8920 WILSHIRE BLVD STE 620
BEVERLY HILLS CA
90211-2006
US

IV. Provider business mailing address

3311 S LA CIENEGA BLVD APT 904
LOS ANGELES CA
90016-2762
US

V. Phone/Fax

Practice location:
  • Phone: 310-652-5004
  • Fax:
Mailing address:
  • Phone: 334-221-5623
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberA178336
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: