MEDICARE: CLAUDIA ORELLANA 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	200005	LA

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	:	1417167842
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CLAUDIA ORELLANA M.D.

Provider Business Mailing Address
First Line	:	4440 VIKING DR
Second Line	:	STE 300
City	:	BOSSIER CITY
State	:	LA
Zip	:	71111-7511
Country	:	US
Telephone Number	:	318-584-7137
Fax Number	:	318-584-7140

Provider Business Practice Location Address
First Line	:	4440 VIKING DR
Second Line	:	STE 300
City	:	BOSSIER CITY
State	:	LA
Zip	:	71111-7511
Country	:	US
Telephone Number	:	318-584-7137
Fax Number	:	318-584-7140

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

Provider Enumeration Date	:	05/23/2007
Last Update Date	:	11/18/2016

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