Healthcare Provider Details

I. General information

NPI: 1104908573
Provider Name (Legal Business Name): JAVIER OROSCO MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/19/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

977 W SEVENTH ST
OXNARD CA
93030-6757
US

IV. Provider business mailing address

977 W SEVENTH ST
OXNARD CA
93030-6757
US

V. Phone/Fax

Practice location:
  • Phone: 805-486-4400
  • Fax: 805-486-2750
Mailing address:
  • Phone: 805-486-4400
  • Fax: 805-486-2750

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberG50461
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: