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Individual

JOSEPH J DE ORIO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
6226 E SPRING ST, SUITE 260, LONG BEACH, CA 90815-1423
(562) 283-4876
(562) 731-2926
Mailing address
6226 E SPRING ST, SUITE 260, LONG BEACH, CA 90815-1423
(562) 283-4876
(562) 731-2926

Taxonomy

Speciality
Code
Description
License number
State
208800000X
Urology Physician
036-116500
IL
208800000X
Urology Physician
Primary
A75800
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
001619727
BCBS OF ILLINOIS
IL
05
036116500
IL
01
1518981232
NPI
CA
01
212223
MEDICARE GROUP
IL
01
A75800
CA LICENSE
CA
01
DE0395
RAILROAD MEDICARE GROUP
IL
01
P00338636
RAILROAD MEDICARE
IL
Enumeration date
07/26/2006
Last updated
02/27/2017
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