Healthcare Provider Details

I. General information

NPI: 1801130026
Provider Name (Legal Business Name): ORCHARD MEDICAL CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/15/2012
Last Update Date: 11/15/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

555 6TH ST
ORANGE COVE CA
93646-2136
US

IV. Provider business mailing address

8727 VAN NUYS BLVD SUITE 103
PANORAMA CITY CA
91402-2451
US

V. Phone/Fax

Practice location:
  • Phone: 559-626-7118
  • Fax: 559-626-7499
Mailing address:
  • Phone: 818-899-5555
  • Fax: 818-899-5969

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: DARYOUSH KASHANI
Title or Position: PRESIDENT
Credential: M.D.
Phone: 818-899-5555