Individual
DR. MANUEL A ORELLANA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2626 N CALIFORNIA ST, #F, STOCKTON, CA 95204
(209) 941-8073
(209) 941-0230
Mailing address
PO BOX 4488, STOCKTON, CA 95204
(209) 941-8073
(209) 941-0230
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
A500440
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00A500440
MEDICARE PROVIDER IDENTIFICATION NUMBER
CA
Enumeration date
06/19/2006
Last updated
08/09/2011
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