Healthcare Provider Details

I. General information

NPI: 1386568848
Provider Name (Legal Business Name): DR. JESSICA OLORIZ
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/07/2026
Last Update Date: 08/07/2026
Certification Date: 08/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

19210 JAMBOREE RD
IRVINE CA
92612-2502
US

IV. Provider business mailing address

385 S MANCHESTER AVE UNIT 3077
ORANGE CA
92868-3257
US

V. Phone/Fax

Practice location:
  • Phone: 714-456-8000
  • Fax:
Mailing address:
  • Phone: 916-365-7125
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1835E0208X
TaxonomyEmergency Medicine Pharmacist
License Number90921
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: