Individual
DANIELLE ORYN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
1179 N MCDOWELL BLVD, PETALUMA, CA 94954-6559
(707) 559-7500
(707) 559-7620
Mailing address
1179 N MCDOWELL BLVD, PETALUMA, CA 94954-6559
(707) 559-7500
(707) 559-7620
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
20A8962
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1376535070
—
CA
01
—
20A8962
LICENSE NUMBER
CA
05
—
BCP70696F
—
CA
05
—
FHC70696F
—
CA
05
—
HAP70696F
—
CA
01
—
ZZZ18742Z
ISSUER MEDICARE
CA
Enumeration date
08/18/2005
Last updated
09/20/2019
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