Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207XS0114X | Adult Reconstructive Orthopaedic Surgeon | G69944 | CA |
NPI | 1497737480 |
---|---|
Provider Name | Dr. Carlo Anthony Orlando |
First Address | Templeton, CA 93465-4003 |
Second Address | Templeton, CA 93465-4003 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 16/11/2005 |
Last Update Date | 10/12/2018 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
00G699440 | (05) | CA |
F87239 | (02) | CA |
G69944 | MEDICAL BOARD (01) | CA |
RHD134426 | X-RAY SUPERVISOR & OPERAT (01) | CA |