Healthcare Provider Details

I. General information

NPI: 1699679217
Provider Name (Legal Business Name): JAZZRIC OROZCO
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/06/2026
Last Update Date: 10/06/2026
Certification Date: 10/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

625 S FAIR OAKS AVE # 215
PASADENA CA
91105-2613
US

IV. Provider business mailing address

1638 WILSON AVE
UPLAND CA
91784-1773
US

V. Phone/Fax

Practice location:
  • Phone: 909-354-0521
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code246W00000X
TaxonomyCardiology Technician
License Number
License Number StateNULL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: