Healthcare Provider Details

I. General information

NPI: 1033025416
Provider Name (Legal Business Name): GUADALUPE OROZCO PH. D., PPS
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/24/2026
Last Update Date: 08/24/2026
Certification Date: 08/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1610 LAKE ST
GLENDALE CA
91201-2610
US

IV. Provider business mailing address

2154 ERIN AVE
UPLAND CA
91784-1281
US

V. Phone/Fax

Practice location:
  • Phone: 818-343-1809
  • Fax:
Mailing address:
  • Phone: 818-243-1809
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TS0200X
TaxonomySchool Psychologist
License Number
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: