Healthcare Provider Details

I. General information

NPI: 1538312905
Provider Name (Legal Business Name): ARTURO OROZCO
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/29/2008
Last Update Date: 01/24/2025
Certification Date: 01/24/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

769 W BLAINE ST
RIVERSIDE CA
92507-3970
US

IV. Provider business mailing address

1908 BUSINESS CENTER DR STE 109
SAN BERNARDINO CA
92408-3469
US

V. Phone/Fax

Practice location:
  • Phone: 951-358-4705
  • Fax:
Mailing address:
  • Phone: 909-665-0046
  • Fax: 951-653-1815

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number101796
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number149883
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: