Healthcare Provider Details

I. General information

NPI: 1437284585
Provider Name (Legal Business Name): JAY S. ORRINGER M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/22/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9675 BRIGHTON WAY PH
BEVERLY HILLS CA
90210-5100
US

IV. Provider business mailing address

9675 BRIGHTON WAY PH
BEVERLY HILLS CA
90210-5100
US

V. Phone/Fax

Practice location:
  • Phone: 310-273-1663
  • Fax: 310-273-2488
Mailing address:
  • Phone: 310-273-1663
  • Fax: 310-273-2488

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208200000X
TaxonomyPlastic Surgery Physician
License NumberG56782
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: