Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RC0000X | Internist - Cardiovascular Disease | G17142 | CA |
NPI | 1013940246 |
---|---|
Provider Name | Joan R. Orlando |
First Address | Corona Del Mar, CA 92625-1205 |
Second Address | Corona Del Mar, CA 92625-1205 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 09/07/2006 |
Last Update Date | 26/04/2016 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
00G171420 | (05) | CA |
A90480 | (02) | CA |