Healthcare Provider Details

I. General information

NPI: 1710237342
Provider Name (Legal Business Name): MARTHA OROZCO PSY.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/11/2012
Last Update Date: 05/29/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9119 HASKELL AVE
NORTH HILLS CA
91343
US

IV. Provider business mailing address

9119 HASKELL AVE
NORTH HILLS CA
91343-3121
US

V. Phone/Fax

Practice location:
  • Phone: 818-739-5904
  • Fax:
Mailing address:
  • Phone: 818-739-5904
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License NumberPSY30110
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: