MEDICARE: FRANCISCO R. ORNELAS JR. 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	174400000X	Specialist	A60144	CA
2	207P00000X	Emergency Medicine Physician	A60144	CA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	A60144	OTHER	CA	MEDICAL LICENSE
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1235196718
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	FRANCISCO R. ORNELAS JR. M.D.

Provider Business Mailing Address
First Line	:	PO BOX 660305
Second Line	:
City	:	ARCADIA
State	:	CA
Zip	:	91066-0305
Country	:	US
Telephone Number	:	626-447-0206
Fax Number	:	626-447-6057

Provider Business Practice Location Address
First Line	:	5451 WALNUT AVE
Second Line	:
City	:	CHINO
State	:	CA
Zip	:	91710-2609
Country	:	US
Telephone Number	:	909-464-8666
Fax Number	:	909-464-8913

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

Provider Enumeration Date	:	04/27/2006
Last Update Date	:	04/18/2012

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