Healthcare Provider Details

I. General information

NPI: 1215227095
Provider Name (Legal Business Name): DAVID W ORIAS M D INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/13/2011
Last Update Date: 04/13/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1700 N ROSE AVE 420
OXNARD CA
93030-3790
US

IV. Provider business mailing address

3729 FORTUNATO WAY
SANTA BARBARA CA
93105-4420
US

V. Phone/Fax

Practice location:
  • Phone: 805-563-9725
  • Fax:
Mailing address:
  • Phone: 805-898-2272
  • Fax: 805-563-3680

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code174400000X
TaxonomySpecialist
License NumberG66301
License Number StateCA

VIII. Authorized Official

Name: DAVID W ORIAS
Title or Position: PRESIDENT
Credential: M.D.
Phone: 805-898-2272