Healthcare Provider Details

I. General information

NPI: 1093190894
Provider Name (Legal Business Name): GEORGE ORLOFF, MD INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/22/2015
Last Update Date: 07/24/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2301 W ALAMEDA AVE
BURBANK CA
91506-2938
US

IV. Provider business mailing address

2301 W ALAMEDA AVE
BURBANK CA
91506-2938
US

V. Phone/Fax

Practice location:
  • Phone: 818-848-0590
  • Fax: 818-848-3574
Mailing address:
  • Phone: 818-848-0590
  • Fax: 818-848-3574

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208200000X
TaxonomyPlastic Surgery Physician
License NumberG62823
License Number StateCA

VIII. Authorized Official

Name: DR. GEORGE ORLOFF
Title or Position: MEDICAL DOCTOR
Credential: MD
Phone: 818-848-0590