Healthcare Provider Details

I. General information

NPI: 1679322770
Provider Name (Legal Business Name): RYAN SCOTT ORIHOOD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/13/2024
Last Update Date: 08/14/2025
Certification Date: 08/14/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2425 BISSO LN STE 200
CONCORD CA
94520-4886
US

IV. Provider business mailing address

2425 BISSO LN STE 200
CONCORD CA
94520-4886
US

V. Phone/Fax

Practice location:
  • Phone: 888-678-7277
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberLCSW130269
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: