Individual
RAUL ORDORICA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
10800 MAGNOLIA AVE, RIVERSIDE, CA 92505-3043
(951) 353-5019
Mailing address
10800 MAGNOLIA AVE, RIVERSIDE, CA 92505-3043
(951) 353-5019
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
G62037
CA
208800000X
Urology Physician
ME73752
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
253819900
—
FL
01
—
42557
BLUE CROSS BLUE SHIELD
FL
Enumeration date
07/20/2006
Last updated
11/22/2021
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