Individual
ANA GABASAN ORANTIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
5885 BROCKTON AVE, RIVERSIDE, CA 92506-1863
(800) 270-5016
Mailing address
5885 BROCKTON AVE, RIVERSIDE, CA 92506-1863
(800) 270-5016
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
8579
AZ
363A00000X
Physician Assistant
Primary
PA62128
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/29/2020
Last updated
02/14/2025
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