Healthcare Provider Details

I. General information

NPI: 1497037915
Provider Name (Legal Business Name): SENA CANTAS ORSDEMIR MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/10/2011
Last Update Date: 03/17/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1 MED PLAZA DR
IRVINE CA
92697-1132
US

IV. Provider business mailing address

333 CITY BLVD W STE 800
ORANGE CA
92868-5901
US

V. Phone/Fax

Practice location:
  • Phone: 714-456-6025
  • Fax:
Mailing address:
  • Phone: 714-456-8888
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2080P0205X
TaxonomyPediatric Endocrinology Physician
License NumberA152495
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: