Healthcare Provider Details

I. General information

NPI: 1154513125
Provider Name (Legal Business Name): OREN ERLICHMAN M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/14/2007
Last Update Date: 05/06/2022
Certification Date: 05/06/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2755 HERNDON AVENUE
CLOVIS CA
93612-6800
US

IV. Provider business mailing address

6360 KINGS GATE CIR
DELRAY BEACH FL
33484-2429
US

V. Phone/Fax

Practice location:
  • Phone: 559-324-4000
  • Fax:
Mailing address:
  • Phone: 559-545-2271
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License NumberA103025
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: