MEDICARE: ORNELLA ADDONIZIO M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2084P0800X	Psychiatry Physician	A54305	CA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1154401149
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ORNELLA ADDONIZIO M.D.

Provider Business Mailing Address
First Line	:	2891 CHURN CREEK RD.
Second Line	:	SUITE A
City	:	REDDING
State	:	CA
Zip	:	96002-1148
Country	:	US
Telephone Number	:	530-221-7474
Fax Number	:	530-226-6329

Provider Business Practice Location Address
First Line	:	2891 CHURN CREEK RD.
Second Line	:	SUITE A
City	:	REDDING
State	:	CA
Zip	:	96002-1148
Country	:	US
Telephone Number	:	530-221-7474
Fax Number	:	530-226-6329

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/16/2006
Last Update Date	:	02/26/2012

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