Healthcare Provider Details

I. General information

NPI: 1427187921
Provider Name (Legal Business Name): EDMUNDO LUIS OROZCO MHRS
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

Provider Other Name: EDMUNDO LUIS OROZCO MHRS

II. Dates (important events)

Enumeration Date: 03/02/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2311 LOVERIDGE RD
PITTSBURG CA
94565-5117
US

IV. Provider business mailing address

2311 LOVERIDGE RD
PITTSBURG CA
94565-5117
US

V. Phone/Fax

Practice location:
  • Phone: 925-431-2623
  • Fax: 925-431-2644
Mailing address:
  • Phone: 925-431-2623
  • Fax: 925-431-2644

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: