Healthcare Provider Details

I. General information

NPI: 1891447140
Provider Name (Legal Business Name): NATALIE OROZCO
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/18/2022
Last Update Date: 03/10/2026
Certification Date: 03/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1050 N GAREY AVE
POMONA CA
91767-3802
US

IV. Provider business mailing address

1050 N GAREY AVE
POMONA CA
91767-3802
US

V. Phone/Fax

Practice location:
  • Phone: 909-623-6391
  • Fax: 909-620-9491
Mailing address:
  • Phone: 909-623-6391
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License NumberCI48640925
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: