Healthcare Provider Details

I. General information

NPI: 1538258017
Provider Name (Legal Business Name): CORAZON OCHOA STRATTAN MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/12/2006
Last Update Date: 11/15/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1400 N MAIN ST
SANTA ANA CA
92701-2321
US

IV. Provider business mailing address

1400 NO. MAIN ST.
SANTA CA
92701-3682
US

V. Phone/Fax

Practice location:
  • Phone: 714-541-6815
  • Fax: 714-541-8032
Mailing address:
  • Phone: 714-541-6815
  • Fax: 714-541-8032

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberA40180
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: