Healthcare Provider Details

I. General information

NPI: 1679216568
Provider Name (Legal Business Name): CRISTINA MARIE OROZCO
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/18/2022
Last Update Date: 05/28/2026
Certification Date: 05/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10155 COLIMA RD
WHITTIER CA
90603-2042
US

IV. Provider business mailing address

10820 BEVERLY BLVD
WHITTIER CA
90601-2576
US

V. Phone/Fax

Practice location:
  • Phone: 562-581-4674
  • Fax:
Mailing address:
  • Phone: 562-475-3800
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number161197
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: