Healthcare Provider Details

I. General information

NPI: 1538719265
Provider Name (Legal Business Name): CORINA OROZCO
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/15/2019
Last Update Date: 08/11/2026
Certification Date: 08/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1063 MCGAW AVE STE 100
IRVINE CA
92614-5554
US

IV. Provider business mailing address

13412 EL HONCHO ST
VICTORVILLE CA
92392-8940
US

V. Phone/Fax

Practice location:
  • Phone: 714-834-1111
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number1-24-71594
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: