Healthcare Provider Details

I. General information

NPI: 1669771382
Provider Name (Legal Business Name): CARLO A ORLANDO M D A PROFESSIONAL CORPORATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/21/2011
Last Update Date: 12/10/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

322 POSADA LN STE A
TEMPLETON CA
93465-4003
US

IV. Provider business mailing address

322 POSADA LN STE A
TEMPLETON CA
93465-4003
US

V. Phone/Fax

Practice location:
  • Phone: 805-781-6644
  • Fax: 805-434-5502
Mailing address:
  • Phone: 805-781-6644
  • Fax: 805-434-5502

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207XS0114X
TaxonomyAdult Reconstructive Orthopaedic Surgery Physician
License NumberG69944
License Number StateCA

VIII. Authorized Official

Name: CARLO A ORLANDO
Title or Position: ORTHOPEDIC SURGEON
Credential: M.D.
Phone: 805-781-6644