Healthcare Provider Details
I. General information
NPI: 1366685323
Provider Name (Legal Business Name): WILLIAM P. ORIEN, DPM A PROFESSIONAL CORPORATION
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 04/07/2009
Last Update Date: 09/17/2012
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
5333 HOLLISTER AVE SUITE 120
SANTA BARBARA CA
93111-2341
US
IV. Provider business mailing address
5333 HOLLISTER AVE SUITE 120
SANTA BARBARA CA
93111-2341
US
V. Phone/Fax
- Phone: 805-964-2300
- Fax: 805-964-5111
- Phone: 805-964-2300
- Fax: 805-964-5111
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 261QP1100X |
| Taxonomy | Podiatric Clinic/Center |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: MRS.
SHARRON
E
ORIEN
Title or Position: PRACTICE MANAGER
Credential:
Phone: 805-964-2300