Healthcare Provider Details

I. General information

NPI: 1063352516
Provider Name (Legal Business Name): ORLANDO ANDRES SANCHEZ CAAMANO
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/01/2026
Last Update Date: 04/01/2026
Certification Date: 04/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6060 N PARAMOUNT BLVD
LONG BEACH CA
90805-3711
US

IV. Provider business mailing address

17830 SAN CANDELO ST
FOUNTAIN VALLEY CA
92708-5338
US

V. Phone/Fax

Practice location:
  • Phone: 562-630-8672
  • Fax: 562-529-2463
Mailing address:
  • Phone: 999-999-9999
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: