Healthcare Provider Details

I. General information

NPI: 1053517284
Provider Name (Legal Business Name): ROBERT ORME RRT, RCP
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/25/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1601 PETERSEN AVE
SAN JOSE CA
95129-4844
US

IV. Provider business mailing address

401 ESTHER AVE
CAMPBELL CA
95008-1250
US

V. Phone/Fax

Practice location:
  • Phone: 408-253-7502
  • Fax:
Mailing address:
  • Phone: 408-370-7279
  • Fax: 408-370-7279

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code227900000X
TaxonomyRegistered Respiratory Therapist
License NumberRCP17286
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: