Healthcare Provider Details

I. General information

NPI: 1740033653
Provider Name (Legal Business Name): ORANGE COUNTY CENTER FOR PRS INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/10/2024
Last Update Date: 09/05/2025
Certification Date: 09/05/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1500 E KATELLA AVE STE P
ORANGE CA
92867-6303
US

IV. Provider business mailing address

1500 E KATELLA AVE STE P
ORANGE CA
92867-6303
US

V. Phone/Fax

Practice location:
  • Phone: 714-844-6334
  • Fax: 714-464-8646
Mailing address:
  • Phone: 714-844-6334
  • Fax: 714-855-3655

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2086S0122X
TaxonomyPlastic and Reconstructive Surgery Physician
License Number
License Number State

VIII. Authorized Official

Name: DANIEL URIAS
Title or Position: CEO
Credential: MD
Phone: 714-844-6334