Healthcare Provider Details

I. General information

NPI: 1689747651
Provider Name (Legal Business Name): LORENA OROZCO
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/16/2006
Last Update Date: 09/11/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1722 S LEWIS RD
CAMARILLO CA
93012-8520
US

IV. Provider business mailing address

201 W CHAPEL ST
SANTA MARIA CA
93458-4303
US

V. Phone/Fax

Practice location:
  • Phone: 805-922-8622
  • Fax:
Mailing address:
  • Phone: 805-922-2243
  • Fax: 805-349-8165

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: