Healthcare Provider Details

I. General information

NPI: 1245006881
Provider Name (Legal Business Name): CELINA ANGELICA HERNANDEZ OROZCO
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/27/2023
Last Update Date: 11/27/2023
Certification Date: 11/25/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2201 HOWE AVE APT 8
SACRAMENTO CA
95825-0162
US

IV. Provider business mailing address

2201 HOWE AVE APT 8
SACRAMENTO CA
95825-0162
US

V. Phone/Fax

Practice location:
  • Phone: 916-759-8494
  • Fax:
Mailing address:
  • Phone: 916-759-8494
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code133N00000X
TaxonomyNutritionist
License Number
License Number StateME

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: