Healthcare Provider Details
I. General information
NPI: 1528110160
Provider Name (Legal Business Name): JOHN PAUL ORONA M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 01/16/2007
Last Update Date: 02/02/2021
Certification Date: 02/02/2021
Deactivation Date:
Reactivation Date:
III. Provider practice location address
2823 FRESNO ST
FRESNO CA
93721-1324
US
IV. Provider business mailing address
2625 E DIVISADERO ST
FRESNO CA
93721-1431
US
V. Phone/Fax
- Phone: 559-499-6440
- Fax: 559-499-6441
- Phone: 559-443-2682
- Fax: 559-443-2681
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 207PE0004X |
| Taxonomy | Emergency Medical Services (Emergency Medicine) Physician |
| License Number | G62824 |
| License Number State | CA |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207P00000X |
| Taxonomy | Emergency Medicine Physician |
| License Number | G62824 |
| License Number State | CA |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: